[p. 287]without inflammation, the limb is of a more
humid (flabby?) temperament than natural, like the thumb, for it is
the part most frequently dislocated, owing to its configuration; in
what persons the dislocation is to a greater or less extent; and in
what persons it is more difficultly or easily produced; in what there
is reason to hope that it can be speedily reduced, and in what not;
and the remedy for this; and in what cases the dislocation frequently
happens, and treatment of this. In dislocation outward from birth,
or during adolescence, or from disease, (and it happens most frequently
from disease, in which case there is sometimes exfoliation of the
bone, but even where there is no exfoliation), the patients experience
the same symptoms, but to an inferior degree to those in dislocations
inward, if properly managed so that in walking they can put the whole
foot to the ground and lean to either side. The younger the patient
is, the greater care should be bestowed on him; when neglected, the
case gets worse; when attended to, it improves; and, although there
be atrophy in all parts of the limb, it is to a less extent.
Part 22
When there is a dislocation on both sides, the affections of the bones
are the same; the flesh is well developed, except within, the nates
protrude, the thighs are arched, unless there be sphacelus. If there
be curvature of the spine above the hip-joint, the patients enjoy
good health, but the body does not grow, with the exception of the
head.
Part 23
The symptoms of dislocation backward are:-The parts before more empty,
behind they protrude, the foot straight, flexion impossible, except
with pain, extension least of all: in these the limb is shortened.
They can neither extend the limb at the ham, nor at the groin, unless
it be much raised, nor can they bend it. The uppermost joint, in most
cases, takes the lead: this is common in joints, nerves, muscles,
intestines, uteri, and other parts. There the bone of the hip-joint
is carried backward to the nates, and on that account it is shortened,
and because the patient cannot extend it. The flesh of the whole leg
is wasted in all cases, in which most, and to what extent, has been
already stated. Every part of the body which performs its functional
work is strong, but, not withstanding, if inactive, it gets into a
bad
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