[p. 276]and if there be inflammation, the bandages are to be the more frequently loosed, but otherwise, less frequently, and the pained joint is to be kept constantly in a state of rest, and is to be laid in the most convenient position possible.
Accidents at the knee are more mild than at the elbow, from its being compact, regular, and elegant in its construction; and, therefore, it is more readily dislocated and reduced. It is most frequently dislocated inward, but also outward and backward. The modes of reduction are these: by flexion at the knee, or by sudden calcitration, or having rolled a swathe into a ball, and fixed it in the ham, the patient's body is to be suddenly dropped on its bended knees. Dislocation backward, also, as in the case of the elbow, may be reduced by moderate extension, and to either side, either by flexion or calcitration, but also by moderate extension. The adjustment is the same in all cases. In dislocations backward which are not reduced, the patient cannot bend the joint, but neither can he, to any great extent, in the other varieties; the thigh and leg are wasted in front; but if inward the patients become bow-legged, and the external parts are wasted; but if outward they become more bandy-legged, but the impediment is less, for the body is supported on the larger of the bones, and the inner parts are wasted. When these accidents happen at birth or during adolescence, they follow the rule formerly stated.
Dislocations at the ankle-joints require strong extension, either with the hands or some such means; and adjustment, which at the same time effects both purposes, as is common in all cases.
Injuries of the foot are to be remedied like those of the hand.
The bones connected with the leg, and which are dislocated, either at birth or during adolescence, follow the same course as those in the hand.
When persons jumping from a height pitch on the heel, so as to occasion separation (diastasis) of the bones, ecchymosis of the veins, and contusion of the nerves; when these symptoms are very violent there is danger of sphacelus, and that the case may give trouble during life, for the bones are so constructed as