_Crotchet._ The usual mode of applying the crotchet at the present day is
to pass it into the cranial cavity, and endeavour to fix it upon some
portion of the skull, which will afford a sufficiently firm hold for the
purpose; the best spot is the petrous portion of one or other of the
temporal bones. The plan of passing up the hook on the outside of the head
is objectionable, for in most cases where there is much impaction of the
head, it will be exceedingly difficult, if not impossible, to push the
hook past it without much suffering and probable injury. Not wishing to
differ from so great an authority as Dr. Smellie without reason, we have
repeatedly tried this mode of using the crotchet, but invariably found
that its introduction on the outside of the head was attended with so much
difficulty and pain as to make us relinquish the attempt. His objections
to passing the hook into the cranial cavity are not valid, for we should
never try to fix it upon the "thin bones," nor should we hold it in such a
manner that, if it did slip or tear through, it would wound either our
hand or the soft parts of the mother.
The common form of the crotchet in general use is but ill adapted for
taking hold of any part within the skull: it is, in fact, the very
instrument left us by Dr. Smellie for applying on the outside of the
skull: and, therefore, that which was intended to take hold of a convex
surface cannot possibly be also suited for one of the contrary form, viz.
a concavity; for this reason, the shank of the hook requires to be
straight, so that the point may project at a considerable angle, by which
means it will take hold with much greater ease.
Public-domain text, read in full here on John Shaqi.
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