Technique of Operations on the Bones, Joints, Muscles and Tendons (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1917 Excerpt: ...should give good drainage and the removal of the sequestra if present and separated. See section 323. Any extensive non-tubercular suppurating bone disease about the ankle should be drained by two lateral anterior or two posterior incisions and, if necessary, an anterior median. If the patient is very ill and the bone abscess not readily located the tissues are opened down to the bone. This should be done very rapidly and good drainage established. Any chronic suppurating process should be well drained and counter drained, the pockets in the tissues well opened and wiped out and the diseased bone well drained in the same way. PART IV--SHOULDER CHAPTER I OPERATIONS FOR DISLOCATIONS AND DEFORMITIES 202. Manipulation of the Shoulder Joint to Relieve Contractures.--It is important not to manipulate a joint where there is disease, or severe injury. Obtaining motion under an anaesthetic should be done only in cases with limited motion where there is no disease and where the limitation of motion is due entirely to extra articular adhesions or muscular contractures or very slight articular adhesions. In manipulation of the shoulder to relieve contractures the normal motion of the joint should be remembered (see figures 306 to 313). The Fio. 306.--Neutral position as to rotation when the line between condyles of the humerus is parallel to a line between the anterior superior spines of the ilium. Fio. 309.--Abduction of the shoulder with outward rotation. stretching of the resisting tissues is made gradually, then relaxing, the force being applied gently and increased to a climax then gradually decreased until there is complete relaxation. The blood is thus allowed to enter and the tissues give way and stretch with less tearing and less trauma. A fair amount of norma...