. The principles and practice of surgery. -tient steadily downwards, parallel withthe side of the body. By this proce-dure we do not effect reduction by theextension and counter-extension, butchiefly or solely by the action of theheel as a wedge, or by the combinedaction of the heel and humerus as a fnl- Sir Astley Co°Pers Method- with the Knee in .. 1 the Axilla. cram and lever. Sir Astley employed for this purpose a lacque applied to the lower end of the humerus, butthe hands of the surgeon, seizing upon the hand and wrist of the pa-tient, are equally effective. Fourth, extension and counter


. The principles and practice of surgery. -tient steadily downwards, parallel withthe side of the body. By this proce-dure we do not effect reduction by theextension and counter-extension, butchiefly or solely by the action of theheel as a wedge, or by the combinedaction of the heel and humerus as a fnl- Sir Astley Co°Pers Method- with the Knee in .. 1 the Axilla. cram and lever. Sir Astley employed for this purpose a lacque applied to the lower end of the humerus, butthe hands of the surgeon, seizing upon the hand and wrist of the pa-tient, are equally effective. Fourth, extension and counter-extension after the manner recom-mended by Nathan E. Smith. Smith proposed to make the counter-extension by the opposite arm, while both arms were in a position atright angles with the body. The connection established between thetwo scapulae through the trapezii, enables the surgeon by pulling at thesound arm to render the counter-extension effective upon the scapulaof the dislocated arm. I have succeeded by this plan, aided only by 21. 322 DISLOCATIONS OF THE HUMERUS. one assistant, who grasped the hand of the sound arm and made coun-ter-extension, while I made extension in the same manner from the Fig. 127. §Lmm


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Keywords: ., bookcentury1800, bookdecade1870, booksubjectg, booksubjectsurgery