Surgery; its theory and practice . the knee in the bend of the elbow on theupper part of the radius and ulna to disengage the coronoid pro-cess, whilst forcibly but slowly flexing the forearm. As soon asthe coronoid process is freed from the olecranon fossa, the musclesgenerally draw the bones suddenly into position. Pressure uponthe humerus by the knee, as recommended by some, should beavoided, as it locks the coronoid process more tightly in the ole-cranon fossa. If necessary, an ana2->thetic should be given. Inlong-standing cases adhesiors be broken down by forciblyflexing and exte
Surgery; its theory and practice . the knee in the bend of the elbow on theupper part of the radius and ulna to disengage the coronoid pro-cess, whilst forcibly but slowly flexing the forearm. As soon asthe coronoid process is freed from the olecranon fossa, the musclesgenerally draw the bones suddenly into position. Pressure uponthe humerus by the knee, as recommended by some, should beavoided, as it locks the coronoid process more tightly in the ole-cranon fossa. If necessary, an ana2->thetic should be given. Inlong-standing cases adhesiors be broken down by forciblyflexing and extending the forearm, and extension may then bemade either by the knee, or by an assiotant pulling on the wrist,or if this is insufficient, bv the plUevs. Six weeks is the periodusually given as the time beyond which it is inexpedient to try andreduce the dislocation. This rh% however, admits of some lati-tude. Thus, an attempt at reduction, when the movement is fairlygood, even after less time has elapsed, may be unwise ; while, on. Dislocation of the radius lorwartls. DISLOCATION OF THE WRIST. 415 the other hand, it may sometimes be made with advantage, espe-cially where there is much rigidity, even at a later period. In dis-location of the radius alone, extension should be made from thehand (so as to act solely on the radius), whilst the elbow-joint isgrasped, and the head of the radius pressed into position by thethumb in a backward or forward or inward direction, according tothe variety of the dislocation. In the other dislocations slightmodifications of these methods are required, and will be suggestedby a knowledge of the anatomy of the joint, a correct diag-nosis of the nature of the displacement. Afte7-7reatment.—The joint should be placed on an insideangular splint and the arm in a sling, and evaporating lotions orice applied to prevent inflammation. Passive movements shouldbe cautiously begun about ten days or a fortnight after the injury. Complications.—i, Fra
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectsurgery, bookyear1896
