[p. 291]quired. Bandaging,-agreeably
to the rule in other joints; but this is to be attended to also,-the
bandages should be numerous, and softer than usual; compression less;
more water than usual to be used in the allusions; to be applied especially
to the heel. The same object should be sought after in the position
as in the bandaging, namely, that the humors may not be determined
to the heel; the limb to be well laid should have the heel higher
than the knee. Splints not to be used.
Part 31
When the foot is dislocated, either alone, or with the epiphysis,
the displacement is more apt to be inward. If not reduced, in the
course of time the parts of the hips, thigh, and leg, opposite the
dislocation, become attenuated. Reduction:-As in dislocation at the
wrist; but the extension requires to be very powerful. Treatment:-Agreeably
to the rule laid down for the other joints. Less apt to be followed
by serious consequences than the wrist, if kept quiet. Diet restricted,
as being in an inactive state. Those occurring at birth, or during
adolescence, observe the rule formerly stated.
Part 32
With regard to slight congenital dislocations, some of them can be
rectified, especially club-foot. There is more than one variety of
club-foot. The treatment consists in modeling the foot like a piece
of wax; applying resinous cerate, and numerous bandages; or a sole,
or a piece of lead is to be bound on, but not upon the bare skin;
the adjustment and attitudes to correspond.
Part 33
If the dislocated bones cause a wound in the skin, and protrude, it
is better to let them alone, provided only they are not allowed to
hang, nor are compressed. The treatment consists in applying pitched
cerate, or compresses dipped in hot wine (for cold is bad in all such
cases), and certain leaves; but in winter unwashed wool may be applied
as a cover to the part; neither cataplasms nor bandaging; restricted
diet. Cold, great weight, compression, violence, restricted position,
all such are to be accounted as fatal measures. When treated moderately
(they escape), maimed and deformed; for, if the dislocation be at
the ankle, the foot is drawn upward, and, if elsewhere, according
to the same rule. The bones do not readily exfoliate; for only small
portions of them are denuded, and they heal by narrow