The philosophy of manipulation in the reduction of hip and shoulder dislocations : read before the American Surgical Association, 1884 / by Moses Gunn.

  • Gunn, Moses, 1822-1887.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: The philosophy of manipulation in the reduction of hip and shoulder dislocations : read before the American Surgical Association, 1884 / by Moses Gunn. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Fig. l.—Anterior view, showing tense Fig. 2.—Posterior view of same specimen, condition of anterior and inferior por- showing the tense state of the anterior and tion of capsule, and the loose state inferior untorn portion of capsular liga- of the ilio-femoral portion in the dorsal meat, dislocation. The dorsal luxation of the iiip. The superior and posterior portion of the ligament must be torn, or there could be no dislocation in this direction, while, from the position of the limb at the instant of luxation, the anterior and inferior portion, being relaxed, remains untorn. Now, if we adduct, flex, and inwardly rotate the limb, we approximate the points of attachment of the untorn portion, and thus effectually relax it. If we now apply force in the reverse direction to that which produced the luxation, we shall be able to replace the dis- located head by the exercise of that amount of force which was necessary to cause the accident, minus the amount of force required to rupture the ligaments and tissues which are torn asunder. The condition of the ligament in this luxation is illustrated in Figs. 1 and 2, Fig. 1 being an anterior, and Fig. 2 a posterior view of the same specimen.