File:The American practice condensed, or The family physician - being the scientific system of medicine (1848) (14592455800).jpg

Identifier: 101485230.nlm.nih.gov
Title: The American practice condensed, or The family physician : being the scientific system of medicine ...
Year: 1848 (1840s)
Authors: Beach, W. (Wooster), 1794-1868 Beach, W. (Wooster), 1794-1868. American practice of medicine
Subjects: Medicine Therapeutics Materia Medica
Publisher: New York : Published and for sale by James M'Alister
Contributing Library: U.S. National Library of Medicine
Digitizing Sponsor: Open Knowledge Commons, U.S. National Library of Medicine

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r practice, having availed myself of the Denefit arisingfrom a knowledge of the principle, 1 find that, although it possesses greatmerit, often of much practical importance, yet it does not, as far as myexperience goes, entirely supersede the ordinary method of extension andcounter-extension. I therefore have, upon the comparative merits of bothmethods, adopted neither exclusively, but have combined the distinguishingprinciples of both. 1st. Let very moderate extension and counter-extension be made; thenlet the Sweet principle, or the compound movement before-mentioned, withabduction, flexion, and rotation, be practised in connexion with such exten-sion, by which the improvements or advantages are combined, and put inexecution at the same time. The first thing, then, to be attended to, in reducing dislocations, is, theposition of the patient. He must be placed, as before intimated, in such amanner that the body will not be subjected to change or alteration ; in other DISLOCATIONS. 503
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504 THE REFORMED PRACTICE OF SURGERY. words, his posture or position must be firm and secure. After the patienthas been properly placed, the joint or socket whence the bone has beenthrown must be firmly and securely fastened by the use of a towel, sheet,or suitable bandage; this should be fastened or firmly held by assistants.The practitioner will now take hold of the dislocated limb, near the seat ofit; and he, with other assistants, will make extension, while those whohave hold of the sheet, or bandage which secures the socket or joint, willmake counter-extension ; and it is very important that this extension andcounter-extension should be made extremely slow and gradual. Says a writer, With respect to the means to be employed for reducingdislocations, it is now generally agreed, among the most eminent surgeons,that force should be only gradually applied. Violence is as likely to tearsound parts as to reduce those which are luxated ; it calls up all the powersof resistance to oppose

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