Transactions of the American Surgical Association Volume 1

Transactions of the American Surgical Association Volume 1

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1883 edition. Excerpt: ...at once administered by Dr. Radcliffe. Grasping the heel and foot, while Dr. Ashford made counterextension, I drew the foot strongly downward, and attempted external rotation without effect. The parts were absolutely immovable by any force at our command. While continuing our efforts, I perceived evidence of returning consciousness and muscular rigidity, and at once desisted until complete relaxation was effected by further etherization, when a renewal of the manipulations was more fortunate, the tibia resuming its normal position with an audible snap, while the astragalus was forced back into its bed on the os calcis. The head of the astragalus, however, still remained resting on the cuboid, or rather, partly on that bone, and partly on the external cuneiform. Rather forcible extension of the foot, with pressure upon the neck of the astragalus, readily carried the head of that bone backward and downward into the concavity of the scaphoid, and to our great happiness the reduction of this formidable dislocation was complete. In my opinion our success was due, first, to the promptness with which the attempt was made, and, secondly, to complete etherization. Dr. F. A. Ashford adds the following report: When Dr. Lincoln and myself arrived, we found the left foot dislocated inward and the astragalus luxated forward and slightly outward. The sole of the foot looked directly inward with its inner margin upward and the whole foot somewhat extended. On account of the extreme inward rotation it was supposed from ocular inspection that the internal malleolus had been fractured, but, upon manual examination, this was found to be intact. Sulphuric ether was administered, and when narcosis resulted, Dr. Lincoln grasped the foot with one hand back of...show more

Product details

  • Paperback | 192 pages
  • 189 x 246 x 10mm | 354g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 1236770714
  • 9781236770714