File:Interstate medical journal (1909) (14803698393).jpg

Identifier: interstatemedica1619unse (find matches)
Title: Interstate medical journal
Year: 1909 (1900s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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of the lower jaw Hippocrates bound theteeth together with gold wire, and applied a light splint of mouldedleather on the outside of the jaw. In fracture of the nose, Paulus /Egineta says that tents of cloth wereapplied to each nostril. Some sewed into these the quills of goosefeathers, so that the patient could breathe through these. Box Splints. Hippocrates says that he is rather at a loss whether torecommend box splints or not. They are of some- use, but not of somuch as many suppose, and a board, unless padded, is rather an un-comfortable thing for a limb to lie on. (Fig. 8.) However, the com-mon people have more confidence in the treatment where they are used;and they are useful in such times as the bed requires rearranging or thepatient has the bowels moved. If used at all they should be of sufficient length. Those for fractureof the thigh should reach from the hip to the heel, for, if flexion of theknee be allowed, distortion of the part is caused. 54 INTERSTATE MEDICAL JOURNAL
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Fig. 13. Reduction of a gibbosity of thespine by the scamnum. MILNE: ANCIENT SURGICAL APPARATUS 55 Nothing, however, is more convenient than a cushion or somethingsimilar, either of wool or linen and not hard. It is to be made hollowedalong its middle, and laid below the limb. In any case a shawl shouldencircle both splint and limb, as children are swathed in bed. Paulus iEgineta describes the box splints -as of wood or earthenware.Some applied them only in cases of compound fracture. A better meansof steadying the limb, he thinks, is to make a long pillow of a garment,and to fold it up at the sides, round the limb, and to steady the wholewith pillows. The garment should be lined with a skin, to catch theembrocations. Galen says that they should be rounded externally and hollowed in-side. They were made of different kinds of wood. Celsus says that they should have in their lower part a hole for theescape of discharge, and they should have a foot plate. Glossocomium of Galen. This inge

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