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
The patient, being strong and vigorous, and having received besides a
violent contusion, was bled twice, and confined to a low diet. On the
following day, no derangement; on the fourth day, a slight displacement
of the bone, the rollers a little relaxed, bandage applied anew. Eighth
day, no sensible displacement. Eleventh day, some swelling around
the joint; compresses, wet with vegeto-mineral water, ordered to be
frequently renewed. Twentieth day, the swelling almost gone, and no
disposition to a displacement; the apparatus was removed; motions at
first difficult, and contracted. Twenty-ninth day, more free and easy.
Thirty-fourth day, returned to their natural state.
CASE III. Mary Rivert luxated her clavicle, on the seventh day of
January 1789. Being brought some time afterwards, to the Hotel-Dieu,
she was treated in the same manner as the foregoing patient, and with
the same result, except that a very slight protuberance remained at the
extremity of the bone, and the confined state of the motions continued
a little longer. Desault related, in his lectures, other instances of
cures being performed without the least remaining deformity.
After all, even supposing the method just proposed, to possess no other
advantage, than that of diminishing the protuberance of the bone,
which, under other modes of treatment, is almost inevitable, and by
that means preventing the motions of the part from being confined, it
would still, without doubt, be a great step towards the perfection of
the art.
23. Should a luxation backwards occur, the same process of reduction
should be adopted, with this difference, that the extension ought to
be made forward and outward; and the same apparatus should be applied
for retaining the parts, except that the humeral extremity ought to be
directed a little backward, in order that the sternal extremity, being
carried forward, may be removed from the place of laceration in the
capsule.
In like manner, should the bone be luxated upwards, it would be
necessary to draw the arm outwards, and elevate slightly the point of
the shoulder, for the purpose of depressing the sternal extremity.
LUXATION OF THE HUMERAL EXTREMITY.
§ V.
OF THE KINDS OF LUXATION.
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