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 Bones of the Nose may be separated from that of the Fore-head by a
Fall, or some violent Blow; and the Surgeon in order to set 'em, at first
lays his Thumb upon the Root of the Nose, and then he introduceth a little
Stick trimm'd with Cotton, into the Nostrils, and by the means thereof
thrusts back the Bones into their place. {298}
_The Dressing and Bandage_
Are the same with those that have been already describ'd in the Fracture of
the Bones of the Nose.
* * * * *
CHAP. II.
_Of the Luxation of the lower-Jaw._
The Jaw may be luxated either on both sides, or only on one. When the
Dislocation happens on both sides, it hangs over the _Sternum_ or
Breast-Bone, and the Spittle runs abundantly out of the Mouth: To reduce
it, the Patient must sit down, and his Head is to be supported by a
Servant; then the Operator or Surgeon having wrapt up his two Thumbs, puts
'em into the Mouth upon the Molar Teeth, his other Fingers lying under the
Jaw, which is to be drawn down by raising it up, having before set two
small Wooden Wedges upon the two Molar Teeth on both sides of the Jaw, lest
the Surgeon's Fingers shou'd be hurt, as the Bone is returning to its
place.
If the Luxation be forward, a Band or Strap is to be put under the Chin, an
Assistant having his Knees upon the Patient's Shoulders, where he is to
draw the Strap upward, to facilitate the Extension; which the Surgeon makes
with his Hands, at the same time thrusting the Bone back again into its
place. {299}
When the Jaw is luxated only on one side, the Chin stands a-cross, and the
dislocated side is squash'd down, a small Cavity being perceiv'd in it, and
a Rising on the other side; so that the Mouth cannot be shut close, but
remains somewhat open, the lower Teeth appear farther out than the upper;
and the Canine or Dog-Teeth lie under the Incisive. This Luxation is
reduc'd by giving a blow with the Hand upon the luxated Bone, which is
sufficient to cause it to re-enter its Natural Place.
_The Dressing and Bandage_
Are altogether the same with those us'd in the Fracture of the Bones of the
lower Jaw.
* * * * *
CHAP. III.
_Of the Luxation of the _Clavicle_._
The _Clavicle_ is oftner loosen'd from the _Acromion_ than from the
_Sternum_; when it hath left the former the Arm cannot be lifted up; the
_Acromion_ makes a Prominence, and the Clavicle descends downward, a Cavity
appearing in its place. To reduce this Luxation, the Patient is to be laid
upon some Convex Body put between his Shoulders; both which are to be
press'd backward, to raise up the Clavicle: Afterward he is to be set in a
Chair, that his Arm may be drawn backward, whilst the {300} Surgeon is
employ'd in pressing the Clavicle and _Acromion_, to join 'em together.
_The Dressing and Bandage_
Are the same with those that we have already shewn, in treating of the
Fracture of the Clavicle.
* * * * *
CHAP. IV.
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