I. The Mechanism of Dislocations and Fracture of the Hip: II. Litholapaxy, Or, Rapid Lithotrity with EvacuationLittle, Brown, 1894 - 356 páginas |
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Términos y frases comunes
abduction acetabulum angle apparatus aspirator beneath Bigelow bladder bone bulb calibre capsular ligament capsule circumduction Clover's comminuted crepitus crushing curved débris displacement dorsal dislocation dorsal luxation dorsum dorsum ilii downward elastic tube ether evacuating catheter evacuating tube eversion everted extremity female blade femur fibres flexed flexion floor frag fragments grains head ilium impacted fracture inch injury instrument intertrochanteric line intertrochanteric ridge inverted knee laceration Lancet lesser trochanter limb litholapaxy lithotomy lithotrite lithotrity male blade manipulation meatus Medical ment method minutes mucous membrane muscles muscular oblique obstruction obturator internus obturator tendon operation orifice outward rotation pass patient pelvis perinæum position posterior wall prostate pubes pulleys pyriformis reduction removed result ruptured shaft shortening Sir Henry Thompson sitting socket sonde specimen spinous spinous process stone straight tube strainer surgeon surgical tendon thigh thyroid foramen tion tissue traction trochanter true neck urethra usual vessie Y ligament
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Página 157 - 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 119 - 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 121 - 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 121 - ... 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 29 - 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 29 - 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 117 - 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 190 - ... 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...
Página 117 - The 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 at the basis of its success. 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 and down, but from one side to the other, so as to sweep the head of the femur across below the socket. No danger need...
Página 224 - The calculus, although not necessarily pulverized, is crushed as rapidly and completely as is practicable. The dust and fragments are immediately evacuated, and a serious source of irritation is thus removed. 2. This can be generally effected in a single operation. 3. The operation — performed of course under ether — may be, if necessary, of one or two hours