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. XXXII. How to restore the Elbow, dislocated outwardly.

YOu may know that the elbow is dislocated outwardly,* 1.1 if at any time you shall observe the arm to be distended, and not able to be bended. Wherefore you must forthwith un∣dertake the restitution thereof, for fear of defluxion and inflammation which the bit∣terness of pain usually causeth, upon what part soever the luxation happens.* 1.2 There is one man∣ner of restoring it, which is, you must cause one to hold hard and steddy the Patients arm a little under the joint of the shoulder, and in the mean while let the Surgeon draw the arm, 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 arm, wresting it gently this way and that way, that he may bring back the bone which fell out into its cavity.* 1.3 I have thus expressely delivered this, that the young Surgeon may understand, that the arm must not be bended for the restoring of this kind of dislocation; for restitution cannot so be hoped for, because by this kind of luxation the inner process of the cubit possesseth the place of the exteriour process in the cavity of the shoulder-bone. Wherefore whilest the arm is bended or crooked, the cubit is only lifted up, and not drawn into its seat. But if we cannot attain to the restitution thereof with our hands alone, you must cause the dislocated arm lightly bended to embrace a poste, then must the end of the cubit called Olecranum be tyed or bound about with a strong ligature or line, and then wrested into its cavity by putting a battoon or staff into the ligature, as is demonstrated by this ensuing figure.

[illustration]

A figure which shews the way how to restore the Elbow, by putting it about a poste, with a battoon.

There is also another more exquisite way of

[illustration]

A figure which shewes how to restore the Elbow by only casting a line about it.

restoring it, which is expressed by the latter figure wherein a line of some inch breadth is cast about the Olecranum of the arm, embracing a post or pillar, and it is drawn so long, untill the disloca∣ted bone be brought into its seat. Now we know that the bone is returned into its place, and re∣stored, when the pain ceaseth, and the figure and whole natural conformation is restored to the arm, and the bending and extending thereof is easie, and not painfull.

Notes

• * 1.1

  S••gn.
• * 1.2

  Cure.
• * 1.3

  A Caution.