A Treatise on Fractures, Luxations, and Other Affections of the BonesDesault, P.-J. (Pierre-Joseph)
Science
A Treatise on Fractures, Luxations, and Other Affections of the Bones
Desault, P.-J. (Pierre-Joseph)
Dislocations; Fractures; Surgery
34. The patient being placed in a standing position, or, if his case
render that impracticable, on a seat without a back, an assistant
elevates the arm of the affected side, and supports it at nearly a
right angle with the body (Fig. 2), while the surgeon places under the
arm-pit the head of the bolster, which descends along the side of the
thorax, and which another assistant, situated at the patient’s sound
side, holds by the two upper corners.
35. The surgeon now takes one of the first rollers, applies the end
of it on the middle of the bolster, fixes it there by two circular
turns round the body, and passes a turn obliquely (a a) along the fore
part of the thorax, ascending to the sound shoulder: the roller then
descends behind, passes under the arm, and returning in front of the
thorax, makes a circular turn and a half, horizontally. Having reached
the hind part of the thorax, it reascends obliquely by the cast (b),
as it had done before, and passes over, before, and under, the sound
shoulder; having thus crossed the turn (a a), the roller again passes
across the hind part of the thorax, and finishes by circular turns,
which completely cover the bolster. A pin is now to be fixed in the
place of crossing of the roller on the sound shoulder, to prevent the
turn (a) from slipping downward.
The application of this first roller is intended for no other
purpose, than firmly to fix the bolster which is held up by the two
oblique turns before and behind, and secured against the body, by the
subsequent circular turns.
36. The bolster being fixed, the surgeon applying one hand to its
external surface, pushes it upwards, and, with the other, taking hold
of the elbow, after having half-bent the fore arm, lowers the arm,
till it is laid along the bolster. He then presses its lower extremity
forcibly against the side of the thorax, pushing it upwards at the same
time, and directing its upper extremity a little backwards.
The application of the bandage constitutes a part of the process of
reduction. The humerus, now converted into a lever of the first kind,
is drawn at its upper end from the shoulder, in proportion as its lower
end, is approximated to the thorax. The scapulary fragment being drawn
along with it, and directed at the same time upward and backward, comes
into contact with the sternal fragment, and in an instant the deformity
of the part disappears.
37. The arm being thus situated, is given in charge to an assistant,
who retains it in the same position in which he received it from the
surgeon, by pressing on it with one hand, and with the other supporting
the fore arm half bent, and placed horizontally across the breast.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account