I. The Mechanism of Dislocations and Fracture of the Hip: II. Litholapaxy, Or, Rapid Lithotrity with EvacuationLittle, Brown,, 1900 - 356 páginas |
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Términos y frases comunes
abduction acetabulum apparatus aspirator autopsy band beneath bladder bone bulb calibre capsular ligament capsule circumduction Clover's crepitus crushing curved débris displacement dorsal dislocation dorsal luxation dorsum dorsum ilii downward elastic tube ether evacuating catheter eversion everted extension extremity female blade femur fibres flexed flexion floor foot frag fragments head Hippocrates ilio-femoral ligament ilium impacted fracture inch injury instrument intertrochanteric line inverted ischiatic notch knee laceration Lancet lesser trochanter limb litholapaxy lithotomy lithotrite lithotrity male blade manipulation Medical ment muscles muscular oblique obturator internus obturator internus muscle obturator tendon operation orifice outer outward rotation passed patient pelvis perinæum position prostate pubes pubic dislocation pulleys pyriformis reduction removed rotated outward ruptured shaft shortening Sir Henry Thompson sitting socket specimen spinous process stone straight tube strainer supra-spinous surgeon surgical thigh thyroid foramen tion tissue traction trochanter true neck tuberosity urethra usual Y ligament
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Página 160 - WYMAN has stated these general conclusions as to the arrangement of the cancelli in human bones. 1. The cancelli of such bones as assist in supporting the weight of the body, are arranged either in the direction of that weight, or in such a manner as to support and brace those cancelli which are in that direction. In a mechanical point of view, they may be regarded in nearly all these bones as a series of " studs" and
Página 122 - The next movement is a gentle rotation of the thigh outward, by inclining the foot toward the ground, and rotating the knee outward. Next, the thigh is to be slightly abducted by pressing the knee directly outward. Lastly, the surgeon freely flexes the thigh upon the pelvis by thrusting the knee upward toward the face of the patient, and at the same moment the abduction is to be increased.
Página 214 - ... the fenestrated lithotrites by Weiss and Thompson already described . 'The blades of this lithotrite consist of a shoe, or female blade, the sides of which are so low that a fragment falls upon it ; while the male blade, or stamp, offers a series of alternate triangular notches, by whose inclined planes the detritus escapes laterally after being crushed against the floor and rim of the shoe. At the heel of the shoe, where most of the stone is usually comminuted and where the impact is therefore...
Página 124 - 2. Flex and lift while abducting. If this fails, it will be found that the rent in the capsule has been so enlarged that the first method may now prove successful." Bigelow adds to his first description three other methods of making the manipulation and applying the force, and, although the mechanism is the same in all, the multiplicity of the directions has been criticised...
Página 124 - ... found that abduction has carried the head of the bone from the dorsum nearly or quite to the thyroid foramen, and that the capsular rent has been so enlarged that the first method may now prove successful. Lifting the femur abducts it if it raises the pelvis on the lifted side. In thyroid dislocation...
Página 32 - He recommends, when the head is brought by abduction close to the lower edge of the acetabulum, that, by the rocking movement already described, it be caused to slip in. This is well, and will probably answer in many cases, but it failed us so completely from the first, that we were led to add the bringing down of the thigh to the straight position in a state of abduction, still keeping up the rocky motion, and it has been uniformly in the act of thus bringing down the limb, that the reduction has...
Página 32 - REID, MD, of Rochester, which have occurred in the New York Hospital during the past two years. By THOMAS M. MARKOE, MD, one of the Attending Surgeons.
Página 120 - Of the various ways which incorporate the essential principle, this one was placed first in my paper, in connexion with the common dorsal dislocation ; and I elsewhere showed how it was applicable to other dislocations. The reduction by the lifting method is usually instantaneous ; and flexion is at the basis of its success. But if, after one or two trials, it should appear that the hip cannot be jerked into place, let the rent in the capsule be enlarged a little by moving the flexed thigh, not up...
Página 120 - The best general rule for reducing a recent dislocation is to get the head of the femur directly below the socket by flexing the thigh at about a right angle, and then to lift or jerk it forcibly up into its place. This rule applies to all dislocations except the pubic, and even to that when secondary from below the socket ; the reduction by the lifting method is usually instantaneous, and flexion is the basis of its success.
Página 193 - ... followed by other symptoms, such as tenderness in the region of the bladder, a quickened pulse, and the frequent and painful passage of urine. These symptoms may insidiously persist rather than abate. Others may supervene. The surgeon vainly waits for a favorable moment to repeat his operation ; it becomes too evident that the patient is seriously ill, and it is quite within the range of possibilities that in the course of days or weeks he may quietly succumb. An autopsy discloses a variety of...