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. XXXIII. Of the dislocation of the Elbow to the inside, and of a compleat and uncompleat Luxation.

IF the Elbow be dislocated to the inner part, the arm must be strongly and powerfully exten∣ded, then bended quickly and with sudden violence,* 1.1 so that his hand may smite upon his shoulder. Some put some round thing into the bought of the Elbow, and upon that do sud∣denly force the Elbow to the shoulder, as we have formerly said. If the Cubit-bone be only lightly moved out of its place into the upper or lower place, it is easily restored by drawing and forcing it into its cavity, after this following manner. Let two extend the arm, taking hold thereof at the shoulder and wrist, and each draw towards himself: and also the Surgeon (who shall there be present) shall force the bone which is dislocated from that part whereunto it is bended, unto the contrary: after he shall thus have restored it, he shall lay the arm in a strait angle, and so binde it

up,* 1.2 and apply fit medicins formerly mentioned, and so let him carry it in a scarf put about his neck, as we said in the dislocation of the shoulder. Hippocrates bids, that the Patient, after it is set, shall often endeavour to bend his hand upwards and downwards, and also extend and bend his arm, yea, and also to attempt to lift up some heavy thing with his hand; for so it will come to pass, that the ligaments of this joint may become more soft, ready and able to perform their accustomed functi∣ons,* 1.3 and also the bones of the cubit and shoulder shall be freed from the affect termed Ancylosis, whereto they are incident by the luxations of this part. Now Ancylosis is a certain preternatural agglutination, coagmentation, and as it were union of sundry and several bones in the same joint, which afterwards hinders the bending and extension thereof. Now, a Callus is generated in the el∣bow sooner than in any other articulation, whether it remaineth out, or be put into joint, by rea∣son that by rest and cessation from the accustomed actions, a viscide humor which is placed natu∣rally in the joints, as also another which is preternatural, drawn thither by pain, floweth down, and is hardned, and gleweth the bones together, as I have observed in many, by reason of the idleness and too long rest of this part: Wherefore that we may withstand this affect, the whole ligation must be loosed sooner and oftner than otherwise, that is to say, every third day, and then the Pa∣tients arm must be gently moved every way. Within the space of twenty, or twenty five dayes, these restored bones recover their strength, sooner or later, according to the happening accidents. It is necessary also that the Surgeon know that the Radius, or Wand, sometimes falleth out, when the Cubit or Ell is wholly dislocated; wherefore he must be mindfull in setting the Cubit, that he also restore the Wand to its place; in the upper part it hath a round process lightly hollowed, wherein it receiveth the shoulder-bone: it hath also an eminency which admitteth the two headed muscle.

Notes

• * 1.1

  The cure.
• * 1.2

  Sent. 6••. sect. 3. de fract.
• * 1.3

  Why the elbow is most subject to Ancylosis.