[p. 289]and extended,
for in such cases the joint is generally in a straight position. The
diminution of the bones, and wasting of the fleshy parts, are analogous.
Part 25
In reduction-the extension of the thigh is to be powerful, and the
adjustment what is common in all such cases, with the hands, or a
board, or a lever, which, in dislocations inward, should be round,
and in dislocations outward, flat; but it is mostly applicable in
dislocations outward. Dislocations inward are to be remedied by means
of bladders, extending to the bare part of the thigh, along with extension
and binding together of the limbs. The patient may be suspended, with
his feet a little separated from one another, and then a person inserting
his arm within the affected limb, is to suspend himself from it, and
perform extension and readjustment at the same time; and this method
is sufficient in dislocations forward and the others, but least of
all in dislocations backward. A board fastened under the limb, like
the board fastened below the arm in dislocations at the shoulder,
answers in dislocations inward, but less so in the other varieties.
Along with extension you will use pressure either with the foot, the
hand, or a board, especially in dislocations forward and backward.
Part 26
Dislocations at the knee are of a milder character than those of the
elbow, owing to the compactness and regularity of the joint; and hence
it is more readily dislocated and reduced. Dislocation generally takes
place inward, but also outward and backward. The methods of reduction
are-by circumflexion, or by rapid excalcitration, or by rolling a
fillet into a ball, placing it in the ham, and then letting the patient's
body suddenly drop down on his knees: this mode applies best in dislocations
backward. Dislocations backward, like those of the elbows, may also
be reduced by moderate extension. Lateral dislocations may be reduced
by circumflexion or excalcitration, or by extension (but this is most
applicable in dislocation backward), but also by moderate extension.
The adjustment is what is common in all. If not reduced, in dislocations
backward, they cannot bend the leg and thigh upon one another, but
neither can they do this in the others except to a small extent; and
the fore parts of the thigh
