In plate II., figs. 1 and 2, I have given the appearances of a
dislocated thumb and a dislocated finger (2) a very common form of
accident; fig. 3 shows the radius of the arm fixed forward; fig. 4
shows the dislocation of the radius at the elbow-joint; and fig. 5 the
dislocation of the humerus or upper arm-bone at the shoulder joint;
figs. 6 and 7 the appearances of a dislocated shoulder-joint; fig. 8
shows the radius dislocated forward a dislocated elbow; fig. 9 is a
painful and yet not uncommon accident, and one that frequently comes
under the Bone-setter’s care, whilst fig. 8 shows the dislocation of
the radius forward; fig. 10, plate III, page 35, shows its appearance
backward.
The dislocation of the jaw is a laughable accident to all but the
sufferer (fig. 11), unfortunately it is liable to recur at any time
when the patient is laughing or gaping.
The hip is likely to be dislocated by the jerking of the body. Figs.
12 and 13 show two modes in which this accident may present itself
when the “hip is out.” It is as well to lay the patient on the bed and
pack the knee with cushions or pillows so as to relieve the pain. The
manner of packing will depend upon the form of dislocation or injury,
but the position in which the patient lies the easiest is best, and in
that position it should be supported. Bran poultices should be applied;
scald the bran in hot water, or steam it, then put it into a bag and
lay it upon the hip as warm as it can be borne, and repeat it until
advice can be procured.
Plate IV, page 68, gives representations of five varieties of
dislocation. The dislocated shoulder joint is shown at fig. 14. If
the elbow hangs off from the side, which will be the case if the
dislocation is downwards, it is well to place a small cushion between
the elbows and the sides and place the arm in a sling. The dislocations
of the first, inwards or outwards (figures 15 and 16), are very painful
and are frequently accompanied with sprains. Figs. 17 and 18 show
the dislocation of the knee and elbow joint and fig. 29, a curious
dislocation of the vertebræ of the neck and arm.
In treating of fractures, two points have to be considered; 1.—To
reduce the fractured ends or portions to their natural positions;
secondly, to retain them there immovable till nature has effected
a permanent cure, or otherwise the result will be similar to fig.
19, plate V. It should be borne in mind that there is no urgency in
treating a broken limb, provided no attempt is made to remove the
person, but if the patient must be moved in the absence of a skilled
“Bone-setter,” it is an absolute necessity to secure the limb by
putting it in splints, which can be easily extemporised in the manner
taught in the ambulance classes of the Order of St. John of Jerusalem.
Public-domain text, read in full here on John Shaqi.
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