A practical treatise on fractures and dislocations . inutes afterwards, I found the first phalanx standing backalmost at a right angle with the metacarpal bone, and the second pha-lanx also flexed to a right angle with the first. Assisted by my pupil,Mr. Board man, the reduction was effected in about twenty seconds, bybending the first phalanx farther back, and at the same moment press-ing the proximal end of this phalanx forwards in the direction of thejoint. Without employing great force, the reduction took place sud-denly and with a snap. Very little swelling followed, and in threeweeks she
A practical treatise on fractures and dislocations . inutes afterwards, I found the first phalanx standing backalmost at a right angle with the metacarpal bone, and the second pha-lanx also flexed to a right angle with the first. Assisted by my pupil,Mr. Board man, the reduction was effected in about twenty seconds, bybending the first phalanx farther back, and at the same moment press-ing the proximal end of this phalanx forwards in the direction of thejoint. Without employing great force, the reduction took place sud-denly and with a snap. Very little swelling followed, and in threeweeks she was able to use her needle without inconvenience. Michael Wolfe, set. 35, fell from a height, causing a fracture of hisleft arm, and a dislocation of his right thumb backwards. I saw himwithin two hours after the accident. The thumb was much swollen,and its position the same as in the case just described. AlthoughWolfe was a strong, muscular man, the reduction was accomplished ina few seconds by applying over the last phalanx the Indian toy called. Dislocation of the firstphalanx of the thumbbackwards. FIRST PHALANX OF THE THUMB BACKWARDS. 661 a puzzle, and making extension in a straight line, while an assistantmade counter-extension from the hand and wrist. The use of thejoint was soon completely restored. Examples, however, are constantly occurring, which are only re-duced after long-continued and painful efforts, or which, indeed, com-pletely exhaust the patience and baffle the skill of the most experiencedsurgeons. Mary J. S., set. 23, fell upon her right hand with her fingers andthumb extended, in September, 1853, and dislocated this bone back-wards. A young surgeon attempted to reduce the dislocation half anhour after the accident, by the same manoeuvre adopted by myselfsuccessfully in the case of the servant-girl; only that he made exten-sion upon the last phalanx at the same moment. The surgeon believesthat the bone was reduced, but one week later he found it displaced
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
