The workes of that famous chirurgion Ambrose Parey translated out of Latin and compared with the French. by Tho: Johnson. Whereunto are added three tractates our of Adrianus Spigelius of the veines, arteries, & nerves, with large figures. Also a table of the bookes and chapters.

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

YOu may also restore a shoulder dislocated

[illustration]

The delineation of the fifth manner of restoring a shoulder.

into the arm-pit, by the help of a Lad∣der, after this manner. Let some round body, as a ball, or clew of yarn, which (as we for∣merly said) may serve to fill the arm-pit, be fastned upon one of the upper steps of a Ladder; at the foot of the Ladder set a low stool, whereupon let the Patient mount; then bind both his legs, and also his sound arm behind his back, lest, when you are about your operation, he hinder and spoil all you do, by laying his hand, or setting his foot up∣on the Ladder: Then let his arm be presently put over the step of the Ladder, and his arm-pit put upon the there fastned ball, the Patient in the mean while being wished to come with his whole body as near unto the steps of the Ladder as he is able; for otherwise, besides that there is no other hope of restoring the luxation, there would be no small danger of breaking the shoulder bone: Also let him take heed, that he put not his head between the steps. Then his arm, bound above the Elbow with filleting, or some other ligature fit for that purpose, shall be drawn down by the hand of some that assist you, and at the same time let the stool be plucked from under his feet, so that he may hang upon the Ladder. Thus by this means the head of the shoulder will be restored by it self, the endeavour of the Surgeon assisting, and pressing down the shoulder blade, and moving it to and and again. The bone being set, the stool, which a

little before was plucked from under the Patients feet, shall be put there again, that he may, with the more ease and less pain, pull back his arm from the step of the Ladder; For if he should lift it high up to draw it over, there would be danger, lest being newly set, and not well staid, the head of the bone might fall out again. I have thought good to have all these things here expressed, that you may learn this operation, as if you see it done before you. I have not thought fit in this place to omit the industry of Nicholas Picart, the Duke of Guise his Surgeon, who being called to a certain Country man to set his shoulder being out of joint, and finding none in the place besides the Patient and his wife, who might assist him in this work, he put the Patient, bound after the a∣forementioned manner, to a Ladder; then immediately he tied a staff at the lower end of the liga∣ture, which was fastned about the Patients arm above his elbow; then put it so tied 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 pluck the stool 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 piece of wood, laid across upon two posts. Also you may use a door, as the other figure shews, wherein you must observe a flat piece of wood or spatula, with strings thereat, whose use shall be shewn in the following Chapter.