sk 
‘ 
436 —=—™~—s«BOT'ANIC. PHYSICIAN. 
7 
In setting these bones, the patient should be seated on a chair off “4 
2 esa height, and oe firmly secured by an assistant. — 
When the bones are luxated backward, the fore-arm should be 
ne ly bent, t, in order to relax the flexor muscles ; while in this 
. a, to slowly bend, the elbow, as the extension is made, we seldom. 
- fail to replace the joint. In some cases, where the point of the elbow 
is broken, it may be necessary to extend the arm ina s k t direc- 
tion, till the joint comes in place. : 
‘The reduction being completed, the fore-arm should be kept in a 
rela ition, with the elbow moderately bent. ; 
SY oe Sood the fore-arm are also liable to be dislocated in theit 
connexion with each other. This is most common at the wrist. Itis 
accompanied by pain, swelling, and distortion, and other signs of 
luxation. In general the bone is easily replaced, but it is more dif _ 
The best method, perhaps, of doing it, is by 
continued for a su Rai taabeot tine. ; 
ae 
_ DISLOCATIONS AT THE WRIST. 
The bones of the wrist are so firmly connected together by hgas 
ments, and so weil adjusted by their position, that they are not so 
often displaced as might be expected. When they are so, however, 
it is generally outwardly. ; 
The dislocation of these bones is readily perceptible to the sight 
and feel, and we should examine carefully that we do not let it pass 
as a mere sprain. 
To reduce these bones, the handand arm should be extended, and 
__ they may be easily pushed in their place; when a bandage and — 
iat 
~ 
BONES OF THE: HAND AND FINGERS. 
___ These bones, notwithstanding their mobility, are sometimes dis: _ 
placed, which may be easily discovered on examination, and as easily. 
replaced. : mitts = 
DISLOCATION AT THE HIP JOINT. 
‘Phe head of the thigh bone is so strongly and completely enclosed 
by the socket, cartilages, and muscles, that we would suppose it 
hardly possible it should be thrown out of joint by external violence: 
it would appear more likely to be broken at the neck, than to be 
forced from its socket. Such is frequently the case; but neverthe- 
less, dislocations do often happen 
_ Dislocations of the thigh bone may take place in various direc- 
tions, viz.: upward and backward, upward and forward, downward — 
and backward, downward and forward, and directly downward. — 
These all may happen; but the most common variety is, downward 
and forward, by which the head of the thigh bone is lodged in the _ 
= round hole. lee : om _ i pee? , . : ge 
___ Every luxation of the thigh bone, must produce lameness, pai? 
*- 
