A treatise on orthopedic surgery . r upper border of the acetabulum. The third is to increase the security ^Pathologie und Therapie der Angebornen Hiift. Yerrenkung. Wieii,1895; ITeber heilung der Angebornen Hiiftgelenk Yerrenkung, Leipzig , 1900. CONGENITAL DISLOCATION OF HIP AND COXA VABA. 549 of the articulation by stretching the anterior border of thecapsule. The fourth is to fix the parts securely in a plasterbandage. The patient is placed upon a table with a thick folded sheetbeneath the buttocks. The assistant, standing opposite the oper-ator, fixes the pelvis with his hands (Fig.
A treatise on orthopedic surgery . r upper border of the acetabulum. The third is to increase the security ^Pathologie und Therapie der Angebornen Hiift. Yerrenkung. Wieii,1895; ITeber heilung der Angebornen Hiiftgelenk Yerrenkung, Leipzig , 1900. CONGENITAL DISLOCATION OF HIP AND COXA VABA. 549 of the articulation by stretching the anterior border of thecapsule. The fourth is to fix the parts securely in a plasterbandage. The patient is placed upon a table with a thick folded sheetbeneath the buttocks. The assistant, standing opposite the oper-ator, fixes the pelvis with his hands (Fig. 359). In some in-stances better control is assured by pressing the flexed thigh ofthe sound side downward against the abdomen, as in theThomas test for flexion in hip disease. The operator first flexes the thigh to a right angle with thebody, then forcibly abducts it, at the same time kneading thetense muscles with the ulnar border of the hand, if necessarystretching and rupturing the fibres until the limb can be forced Fig. Reduction of dislocation of the right hip. First step. The operator overcomesthe resistance offered by the adductors by forcible massage. down to the plane of the body. One next overcomes the short-ening of the tissues on the posterior aspect by flexing the limb,extended at the knee, upon the trunk, gradually forcing it down-ward until the toes may be placed against the patients face(Fig. 360). During this manoeuvre the assistant fixes the pelvisby holding the extended thigh of the sound side firmly againstthe table. The next step is to overcome the resistance of thetissues on the front of the joint. The pelvis is fixed by theassistant. The leg is then flexed upon the thigh, and the thigh 550 OBTHOPEDIC SURGE 360.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
