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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Página 11
... remains intact ; that when this alone remains , it is itself able to give position to the displaced limb ; and that when it is divided , the other parts of the capsule , the muscles , and other tissues do this very imperfectly , as will ...
... remains intact ; that when this alone remains , it is itself able to give position to the displaced limb ; and that when it is divided , the other parts of the capsule , the muscles , and other tissues do this very imperfectly , as will ...
Página 16
... remains for future autopsies to show , by careful examination , how far the usual phenomena either of luxation or its reduction can occur after rupture of this ligament . THE Y LIGAMENT . The ilio - femoral ligament , known also as the ...
... remains for future autopsies to show , by careful examination , how far the usual phenomena either of luxation or its reduction can occur after rupture of this ligament . THE Y LIGAMENT . The ilio - femoral ligament , known also as the ...
Página 46
... . Reduction by rotation . The limb has been flexed and abducted , and it remains only to evert it , and render the outer branch of the Y ligament tense by rotation . by the outer branch of the Y ligament , rises. 46 DORSAL DISLOCATION .
... . Reduction by rotation . The limb has been flexed and abducted , and it remains only to evert it , and render the outer branch of the Y ligament tense by rotation . by the outer branch of the Y ligament , rises. 46 DORSAL DISLOCATION .
Página 48
... remains uninjured . I have thus reduced the dislocated femur in living subjects by a single slow circumduction occupying from a quarter to half a minute , and also by a first rapid sweep of two seconds . The manœuvre may be perfectly ...
... remains uninjured . I have thus reduced the dislocated femur in living subjects by a single slow circumduction occupying from a quarter to half a minute , and also by a first rapid sweep of two seconds . The manœuvre may be perfectly ...
Página 55
... remains of capsule , or the presence of cicatricial tissue , partially occluding the socket . A little girl three and a half years old entered the Massa- chusetts General Hospital with unequivocal signs of dorsal dislocation of twelve ...
... remains of capsule , or the presence of cicatricial tissue , partially occluding the socket . A little girl three and a half years old entered the Massa- chusetts General Hospital with unequivocal signs of dorsal dislocation of twelve ...
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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 joint 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
Pasajes populares
Página 159 - 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 121 - 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 194 - ... the bladder. I believe that in any case which is as favorable to lithotrity as the average, in these days when stones are detected early, this can be effected ; and that if the bladder be completely emptied of detritus, we have as little to apprehend from the fatigue of the organ consequent upon such manipulation as from the alternative of residual fragments and further operations.
Página 213 - I like the blades of this instrument nearly as well as those of 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...
Página 123 - 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 123 - ... 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 31 - 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 31 - 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 227 - The first part of this rule applies also to the introduction of a lithotrite, and even a curved catheter. A free injection of oil is important. 8. A small meatus should be enlarged, or a stricture divulsed, to allow the passage of a large tube. 9. If the bladder be not small, a large and powerful lithotrite is always better than a small one. 10. That this may have room for action, the escaping water should be replaced occasionally, through a tube inserted a few inches into the urethra by the side...
Página 119 - 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.