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
Or else the Patient's Arm may be laid upon the Shoulder of a taller Man
than himself, who is strongly to draw the luxated Arm upon the Fore-part of
his Breast; during which time, the Operator is to push the Head of the
_Humerus_, to cause it to re-enter its Cavity.
Otherwise the Patient may lie on the Ground, a Tennis-Ball being put under
his Arm-Pit, which a Servant is to draw strongly with a Handkerchief pass'd
under the Shoulder, whilst another Assistant stands behind the Patient, to
thrust down the Shoulder with his Foot; at the same time the Surgeon
sitting between the Patient's Legs, is to push strongly with his Heel the
Ball that lies under the Arm-hole.
Or else, a thick Battoon or Leaver may be laid on the Shoulders of two Men,
after a Tennis-Ball hath been nail'd on the middle of it; otherwise a Bunch
may be made therein, and cover'd with Linnen-Cloth; two Wooden Pins being
also fixt on each side of the Ball: {306} Then the Patient's Arm-Pit is to
be set between those two Pins, and upon the Ball, where he is to remain
hanging, whilst his Arm is pull'd down by main force. The same thing may be
done by laying the Patient's Arm-Pit upon a Door, or else upon the Round of
a Ladder.
_The Dressing and Bandage_
A little Ball of Linnen is to be laid under the Arm-Pit, and underneath a
Bolster with four Heads, which are cross'd upon the Shoulder; as also a
Bolster under the sound Arm-Hole, that it may not be gall'd by the Bandage
_Spica_, the Nature of which we have shewn in treating of the Fracture of
the Clavicle.
* * * * *
CHAP. X.
_Of the Luxation of the Elbow._
When the Elbow is luxated on the inside, the Arm flies out, and the Hand is
turn'd outward; but in the Luxation on the outside, the Arm is shortned: If
the Luxation be Lateral, a Prominence appears in the Dislocated, and a
Cavity in the opposite Part.
To reduce the Internal Luxation, the _Humerus_ and _Cubitus_ are drawn, and
at the same time the Surgeon bends the Elbow, by carrying {307} the Hand
toward the Shoulder; or else a Tennis-Ball may be laid in the Fold of the
Elbow, and the Arm drawn toward the Shoulder.
For the External Luxation, the Extension is to be made, whilst the Surgeon
thrusts back the Elbow into its place: Or else a round Stick may be taken,
and trimm'd with Linnen-Cloth, with which the Bone is to be push'd back
into its place during the Extension. This Stick may be also us'd in the
reducing of the Internal Luxation.
For the Lateral Luxations, the Extension may be made in like manner; the
Surgeon at the same time thrusting back the Bone into its Natural
Situation.
_The Bandage_
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