第 18 节
作者:
没事找事 更新:2021-10-16 18:43 字数:3482
same in all cases。 In dislocations backward which are not reduced; the
patient cannot bend the joint; but neither can he; to any great
extent; in the other varieties; the thigh and leg are wasted in front;
but if inward the patients become bow…legged; and the external parts
are wasted; but if outward they become more bandy…legged; but the
impediment is less; for the body is supported on the larger of the
bones; and the inner parts are wasted。 When these accidents happen
at birth or during adolescence; they follow the rule formerly stated。
83。 Dislocations at the ankle…joints require strong extension;
either with the hands or some such means; and adjustment; which at the
same time effects both purposes; as is common in all cases。
84。 Injuries of the foot are to be remedied like those of the hand。
85。 The bones connected with the leg; and which are dislocated;
either at birth or during adolescence; follow the same course as those
in the hand。
86。 When persons jumping from a height pitch on the heel; so as to
occasion separation (diastasis) of the bones; ecchymosis of the veins;
and contusion of the nerves; when these symptoms are very violent
there is danger of sphacelus; and that the case may give trouble
during life; for the bones are so constructed as to slip from one
another; and the nerves communicate together。 And; indeed; in cases of
fracture; either from an injury in the leg or thigh; or in paralysis
of the nerves (tendons?) connected with these parts; or from neglect
during confinement to bed; when the heel gets blackened the most
serious consequences result therefrom。 Sometimes; in addition to the
sphacelus; there come on acute fevers accompanied with hiccup;
aberration of intellect; and speedy death; with lividities of the
large blood…vessels。 With regard to the symptoms attending
exacerbations; if the ecchymosed and blackened parts and those
around be somewhat hard and red; and if along with the hardness
there be lividity; mortification is to be apprehended; but if the
parts be slightly livid; or even very livid; and the swelling
diffused; or if greenish and soft; these appearances; in such cases;
are all favorable。 The treatment; if no fever be present; consists
in the administration of hellebore; but otherwise (it is not to be
given; but oxyglyky (decoction of honeycombs and vinegar) is to be
given for drink; if required。 Bandaging as in the other articulations:
above all; more especially in contusions; the bandages should be
numerous and softer than usual; but the compression should be less;
most turns should be made around the heel。 Position; like the
bandaging; should be so regulated as not to determine to the heel。
Splints are not to be used。
87。 When the foot is dislocated; either alone or along with its
epiphysis; the displacement is; for the most part; to the inside。 If
not reduced; in the course of time; the hip; the thigh; and the side
of the leg opposite the dislocation; become atrophied。 Reduction is
the same as in the wrist; but the extension requires to be very
powerful。 Treatment; agreeably to the general rule for joints。
Exacerbations do occur; but less frequently than in dislocations at
the wrist; provided the parts get rest。 While they remain at rest
the diet should be restricted。 Those which occur at birth; or during
adolescence; follow the rule formerly stated。
THE END