[p. 226] is to be conducted
with bandages according to the rule for bandaging articulations, and
the point of the elbow is to be included in the bandage.
Part 19
Dislocations at the elbow give rise to the most serious consequences,
such as fevers, pain, nausea, vomitings of pure bile, and more especially
when the humerus is displaced backward from pressure on the nerve,
which occasions numbness; next to it is the dislocation forward; the
treatment is the same; reduction in dislocation backward is by extension
and adaptation; the symptom of this variety-loss of the power of extension;
of dislocation forward-loss of the power of flexion, and in this case
reduction is to be accomplished by placing a hard ball (in the bend
of the elbow), and bending the fore-arm about it, along with sudden
extension.
Part 20
Diastasis of the bones may be recognized by examining the part where
the vein that runs along the arm divides.
Part 21
In those cases callus is quickly formed. In congenital dislocations
the bones below the seat of the injury are shorter than natural, and,
mostly, those nearest to the place; namely, the bones of the fore-arm,
next those of the hand; and, third, those of the fingers. The arm
and shoulder are stronger, owing to the nourishment which they receive,
and the other arm, from the additional work which it has to perform,
is still more strong. Wasting of the flesh takes place on the inside
if the dislocation be on the outside; or otherwise, on the side opposite
the dislocation.
Part 22
When the elbow is dislocated either inward or outward, extension is
to be made with the fore-arm at a right angle to the arm; the arm,
suspended by means of a shawl passed through the armpit, and a weight
attached to the extremity of the elbow; or force may be applied with
the hands; when the articular extremity has been cleared, the displaced
parts are to be rectified with the palms of the hand, as in dislocations
of the hands. It is to be bandaged, suspended in a sling, and placed
while in this attitude.
Part 23
Dislocations backward are to be rectified by the palms of the hands,
along with sudden extension; the two acts are to be performed together,
as in other cases of the kind. But in dislocation
