Part 18
In complete dislocations toward either side, extension is to be made
as in bandaging fracture of the arm; for thus the rounded part of
the elbow will not form an obstacle to it. Dislocation, for the most
part, takes place toward the sides (
inwardly?). Reduction is to be
effected by separating (the bones) as much as possible, so that the
end (of the humerus) may not come in contact with the olecranon, and
it is to be carried up, and turned round, and not forced in a straight
line, and, at the same time, the opposite sides are to be pushed together,
and propelled into their proper place. It will further assist if rotation
of the fore-arm be made at the elbow, sometimes turning it into a
supine position, and sometimes into a prone. The position for the
treatment consists in keeping the hand a little higher than the elbow,
and the arm at the sides; then it may either be suspended or laid
at rest, for either position will answer; and nature and the usage
of common means will accomplish the cure, if the callus does not form
improperly: it is formed quickly. The treatment
[p. 226] is to be conducted
with bandages according to the rule for bandaging articulations, and
the point of the elbow is to be included in the bandage.