The art of chirurgery, explained, in six parts ... Being the whol [sic] fifth book of Practical physick / By D. Sennertus ... [tr. by] Nicholas Culpeper ... Abdiah Cole ... And W.R. [i.e. William Rowland?].

  • Sennert, Daniel, 1572-1637
Date:
1661
Catalogue details

Licence: Public Domain Mark

Credit: The art of chirurgery, explained, in six parts ... Being the whol [sic] fifth book of Practical physick / By D. Sennertus ... [tr. by] Nicholas Culpeper ... Abdiah Cole ... And W.R. [i.e. William Rowland?]. Source: Wellcome Collection.

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    Ofa Luxation of the Elhoi^ and R^adius^ 268' joywt they not what they fboM do more; the Cure ofthefeittbk, at to other/of the hl^e fort, a Cerate, ^oljiers, Linm Clothes, and Swathinp made after this manner: the bone (iickinjp out muft be forced downwards, and on that part many^olfters mufi be laid, and they muh be preji down'very wel, and the ^rm muUbefaftenedto the (liibf towards the upper part and kepffo for h means whatfaever can it be done, that the bone pul’d off can come clofe and grow together s yet we mult wel know, and foretelalfo that thefe things arefafe, tfyou would have it otherwife\ kcaufe neither jmal nor great hurt happens to the Shoulder by this Wound, only the place becomes more deformed. *For whenof neither this boiie can be reflored to its ancient feat, after the fame manner as it was hy Mature, but it mufi needs be that it becomes lit¬ tle or much firutting out at.the ufper party nei¬ ther doth any thing elfe return wholly into the fame jiate, which communicating and cohering with another hath been piel’d off from its ancient coberenceJn a few daies the pain at the top of the Shoulder is affwagedff it be bound down rightly, Thus cauch*Hippocrates 'y lee (jalen alfoin his Comoienc. chap. 7. OfaLuxat'moftheElbol)^ Radius. 'He Elbow and t^adiusztc ^oyned with the lower head of the Shoulder. The Elbow by a (jynglymifs, that is,by chat kind of Acciculawon: in wdich chcbones joyncd together domutuaily receive and arc received by one another^ for the Shoulder hath in its lower pare two bofoto', the former or leffer of w’hicb receives the outer pioceis of the Elbow j but the hindermoft or greater is devoted CO the hinder ptocefs of the Tame j buc^ for receiving of the Radius the Shoulder hath^lfo a peculiar head, called the outer head. The Differences* From which we may eafily colledii:, chat the El¬ bow may not only be wholly and.perfeftly luxa¬ ted, but alio may fuffer a fubluxacion: next of all that it may be luxued into al the four Differences of place, fotwardsjbagkwardsjoutwards, inwards; but cbe^^2£li«/as fomecimes it follows the El¬ bow luxated into any part, but fomecimes ftaics in ics place ; foforactimcj it alone fals from the Elbow, wichouc any luxation of it, TheCaufes* As the Luxation of other parts proceeds from violent Caufes, fo this alfo; and indeed the Lux¬ ation of the Elbow to the fore part ( for the moft part) is from a violent and iudden excenfion of the Arm; to the binder part,from a violent bend¬ ing of the Arm, and outwardly or inwardly, from a perverfion pf the ; »he Caufes of a fub- luxiacion are humors flowing to the Joync,which by degrees do fil up the Cavities engraved both in Che lower part of the Shoulder-bonp, and alfo ip the Elbow and Radius, and do chruft forth the El^ow or rp^adius out of their leac. The Signs DiagnoftkL. It is eafily difcovcred by the Sight and I’ouch into what part the Elbow is juxued; for it it b2 fallen to the fote parr the Arm is ex ended and cannot be bencjin the fore pact there is fecn an un* ufual Tumor, but in the hinder pare an unufual Cavity ; things contrary to thefe do happen, if ic be luxated to the hinder pate 5 to wit, the Arm is’ crooked, and can by no means he extended ; the Tumoc appears in the hinder parc,but the Cavity in the fore part. A Luxation to the outward pare makes alfo a bunching out in the outer part, buc a bofom in the inner part; but on the contrary, if the Elbow be fallen to the inward parr, th^re is ari eminency lefs then ftiould be in the inward pact^ and a Cavity in the outer part. Jf the rPyadim follow the Elbow, ’ris known by ibe fame Signs; but if it only depart from the El bow wichouc a Luxation, a gaping and difjoymng fhews it, the. place is hollow, and ’tis eafie to find a bofom wit^ ch.c F inger. 1. The Elbow as it doth not eafily fal forth by xealon of.icsiitmand faft coarticulacion with the Shoulder, and ics plenty and ftrength of Liga¬ ments j fo being fallen forth it is hardly refta- xed. 2. Tbe Elbow luxated unlefs it be raoft fpeedi- ly reduced,doth rot only bring divers and danger LOUS Symptoms, tp wit, a mplf exceeding pain. Inflammation, Fever, Convulfion, but fomecimes alfo Death. 3. Qf all Luxations which happen in the Gib- ,bous part of the Elbow, the moft dangerous and painful is chat which is to the hinder parr. tPaulut JEginetdide re medic, f. 6. c. 115. 4. When the Bone of the Elbow is divided from the other Bone, it is pot eafily reftored *, foe neither do two bones, which are joyned cogether, when they once gape, eafily return to their anci¬ ent place 3 but it muft needs be, that the Bones being fo divided, the part becomes fwelled, and the bones ace quickly compaft; with a Callus, The Qure^ The Elbow being tmpccfcdlly luxaad (or fuE- luxatedjco cbejfore part is moft eafily reftored by moderate excenfion and only bending of the Arm^ but .a perfect Luxation is harder co be reduccd^and requires greater provifioni for fitft: these muft ba excenfion made and that obliquely (left: the high brow of the Elbow hurt the head of the Shoulder) by two Servants, one of which muft draw the cop