A new method of reduction in dislocations of the humerus / by James E. Kelly.

  • Kelly, James E.
Date:
1882
Catalogue details

Licence: Public Domain Mark

Credit: A new method of reduction in dislocations of the humerus / by James E. Kelly. 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.

    5/8 (page 5)
    stages. The first, or preparatory stage, in which the surgeon assumes the most favourable position for the reduction, is well depicted in Fig. 1. The operator places the injured arm at right, angles to the body, and standing against it, with his side to the patient and his hip pressed firmly, but not roughly, into the axilla, he folds the arm and hand of the patient closely round his pelvis, . and fixes the hand firmly by pressing it against the crest of his i ilium. The second stage, during which the reduction is effected, is very simple, consisting merely of a rotation, or version, of the fsurgeon’s body into the position represented in Fig. 2, with a : force and rapidity which necessarily vary with the peculiarity of ^the dislocation—some yielding most readily to a sudden and i'lpowerful effort, and others to gentle and gradually increasing Attraction. In reviewing this manmuvre I shall briefly contrast the substi- liites which it affords with the recognised methods of making xtension, counter-extension and coaptation. In the application f extension, instead of the grasp of the operator, which is often •isufflcient, the clove-hitch or other knot, the special bracelets, In both the wooclcutH the operator’s right hand should be represented as being ore posterior, and grasping the hand of the patient rather than the wrist.