The Compleat Surgeon: or, the whole Art of Surgery explain'd in a most familiar Method.Le Clerc, M. (Charles Gabriel)
Science
The Compleat Surgeon: or, the whole Art of Surgery explain'd in a most familiar Method.
Le Clerc, M. (Charles Gabriel)
Surgery -- Early works to 1800
The Cavities which are above and below the Clavicle, are to be fill'd with
Bolsters trimm'd with Paste-boards; another is to be also laid upon the
Bone, which is almost of the same Figure with the Clavicle, and a large
Bolster, to cover the three others: This Dressing is to be secur'd with the
Bandage call'd the _Capeline_ or Head-Bandage, provided the Fracture be in
the middle of the Clavicle. A Band {277} being taken about six Ells long,
and four fingers thick, roll'd with two Balls; it is apply'd in the middle
to the Fracture; one of its Heads or Ends is let down upon the Breast,
whilst the other is pass'd behind the Back, below the Arm-hole, opposite to
the indispos'd Arm-hole and above the Breast, to be carry'd over the other
end of the Band, which is rais'd up, to make a Roller or Bolster upon the
Fracture: The other end is pass'd under the indispos'd Arm-pit, and upon
the Band that made the Roller, which is elevated by making a third Roller
upon the Clavicle: These Circumvolutions around about the Body are
continu'd, as also these Rollers upon the Clavicle, till it be entirely
cover'd. Some Circumvolutions are also made upon the upper part of the Arm,
near its Head: The Space that lies between the Rollers and the
Circumvolutions of the Arm, and which bears the Name of _Geranium_ or
Stork's-Bill, is likewise cover'd with some Circumvolutions, and the Band
is stay'd by making Circumvolutions quite round about the Body.
If the Fracture were near the Head of the _Humerus_ or Arm-Bone, a sort of
Bandage might be prepar'd, which is call'd _Spica_, with a Band roll'd with
one Ball five Ells long, and four fingers broad; one end of this Band is
pass'd under the Arm-pit opposite to the indispos'd one behind the Back:
The other end is convey'd under the indispos'd Arm-pit; the Figure of the
Letters KY or X is made on the Shoulder; the Band is return'd below the
other Shoulder behind; it is brought back again before, to form a second KY
upon the {278} Fracture; three or four more KY's are wrought upon the
Fracture; two Circumvolutions are made in the upper part of the _Humerus_,
which constitute a Triangle call'd _Geranium_; this Triangle is cover'd
with Rollers, and the Band is terminated round about the Breast.
* * * * *
CHAP. IV.
_Of the Fracture of the _Omoplata_ or Shoulder-Blade._
The _Acromion_ is usually fractur'd, but it may be known that the middle of
the _Omoplata_ is broken by a Numness which is felt in the whole Arm:
Whereupon the Surgeon, after having examin'd the place of the Fracture,
thrusts back the Prominences of the Bones into their place; and if any
Splints happen to prick the Part, he makes an Incision to take 'em out, or
to cut off their Points.
_The Dressing and Bandage._
Public-domain text, read in full here on John Shaqi.
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