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YOu may know that the elbow is dislocated outwardly, if at any time you * 1.1 shall observe the arme to be distended, and not able to be bended. Where∣fore you must forth with undertake the restitution thereof, for feare of de∣fluxion and inflammation, which the bitternesse of pain usually causeth, upon what part soever the luxation happen. There is one manner of restoring it, * 1.2
which is, you must cause one to hold hard and steddy the patients arme a little un∣der the joint of the shoulder, and in the meane while let the Surgeon draw the arme, taking hold thereof with his hand, and also force the shoulder-bone outwards, and the eminency of the cubit inwards, but let him by little and little draw and extend the arme, wresting it gently this way and that way, that he may bring back the bone which fell out into its cavity. I have thus expressely delivered this, that the young Surgeon may understand, that the arme must not be bended for the restoring of this kinde of dislocation; for restitution cannot so be hoped for, because by this kind of * 1.3 luxation the inner processe of the cubit possesseth the place of the exteriour processe in the cavity of the shoulder-bone. Wherefore, whilest the arme is bended or croo∣ked, the cubit is onely lifted up, and not drawne into its seat. But if wee cannot at∣taine to the restitution thereof with our hands alone, you must cause the dislocated arme lightly bended to embrace a poste, then must the end of the cubit called Ole∣cranum be tyed or bound about with a strong ligature or line, and then wrested into its cavity by putting a battoon or staffe into the ligature, as is demonstrated by this ensuing figure.
There is also another more exquisite way of restoring it, which is expressed by the latter figure, wherein a line of some inch breadth is cast about the Olecranum of the arme, embracing a poste or pillar, and it is drawn so long, untill the dislocated bone be brought into its seat. Now wee know that the bone is returned into its place, and restored, when the paine ceaseth, and the figure and whole naturall conformation is restored to the arme, and the bending and extending thereof is easie, and not painefull.
Signe.
Cure.
A Caution.