The workes of that famous chirurgion Ambrose Parey translated out of Latine and compared with the French. by Th: Johnson

CHAP. XXVI. Of the fifth manner of putting the Shoulder into joynt, which is performed by a Ladder.

YOu may also restore a Shoulder dislocated into the Arme-pit, by the helpe of a Ladder, after the following manner. Let some round bo∣dy, as a ball, or clew of yarne, which (as we formerly said) may serve to fill the Arme-pit, be fastened upon one of the upper steps of a Lad∣der; at the foot of the Ladder set a low stoole, whereupon let the Patient mount; then binde both his legges, and also his sound arme behind his back, lest, when you are about your operation, he hinder and spoyle all you doe, by lay∣ing his hand, or setting his foote upon the Ladder. Then let his Arme be present∣ly put over the step of the Ladder, and his Arme-pit put upon the there fastened bal, the Patient in the meane while being wished to come with his whole body as neare unto the steps of the Ladder as he is able; for otherwise, besides that there is no o∣ther hope of restoring the Luxation, there would bee no small danger of breaking the shoulder-bone. Also let him take heede, that he put not his head betweene the steps. Then his Arme, bound above the Elbow with fille••••ing, or some other liga∣ture fit for that purpose, shall be drawne downe by the hand of some that assist you, and at the same time let the stoole be plucked from under his feet, so that hee may hang upon the Ladder. Thus by this meanes the head of the Shoulder will bee re∣stored by its selfe, the endeavour of the Surgeon assisting, and pressing downe the

shoulder-blade, and moving it to and againe. The bone being set, the stoole, which a little before was plucked from under the Patients feet, shall be put there againe, that he may, with the more ease and lesse paine, pull backe his Arme from the step of the Ladder. For if he should lift it high up to draw it over, there would be dan∣ger, lest being newly set, and not well stayed, the head of the bone might fall out a∣gaine. I have thought good to have all these things here expressed, that you may learne this operation, as if you see it done before you.

[illustration]

The delineation of the fifth manner of restoring a Shoulder.

I have not thought fit in this place to omit the industrie of Nicholas Picart, the Duke of Guise his Surgeon; who being called to a certaine Countrey-man to set his Shoulder being out of joynt, and finding none in the place besides the Patient and his wife, who might assist him in this worke, hee put the Patient, bound after the forementioned manner, to a Ladder; then immediately hee tyed a staffe at the lower end of the Ligature, which was fastened about the Patients arme above his Elbow; then put it so tyed under one of the steps of the Ladder, as low as he could, and got astride thereupon, and sate thereon with his whole weight, and at the same instant made his wife to plucke the stoole from under his feet: which being done, the bone presently came into its place, as you may see by the following figure.

[illustration]

Another figure expressing the fourth manner of restoring a dislocated Shoulder.

[illustration]

Another figure to the same purpose.

If you have never a Ladder, you may use a peece of Wood, layd a-crosse upon two Posts. Also you may use a doore, as the other figure shewes, wherein you must observe a flat piece of Wood or spatula with strings thereat, whose use shal be showne in the following Chapter.