Nine books of physick and chirurgery written by that great and learned physitian, Dr Sennertus. The first five being his Institutions of the whole body of physick: the other four of fevers and agues: with their differences, signs, and cures.

CHAP IV. Of restoring of bones that are out of joynt.

Synthesis which puts bones slid out of their places into them again, calle this Arthrembla, this is performed three wayes, either with the hands of the Chyrurgeon which is convenient in tender bodyes, and when the hurt is newly done, or with certaine common instruments, as by the helpe of raynes, swa∣thing-bands, Laqueorum, scalarum, sedilium, forium bifidar∣um, and it is convenient for children, Women, and those whose muscles are grown stronger, and luxations have been longer, or by instruments, certaine Engines, peculiar for that purpose, is performed, and are used for strong bodyes, and old luxations, and altogether on those, which cannot be re∣stored by the two former wayes, of such Engines, you may see Hippocrates, of joynts and fractures, and Oribasius of Engines intititled, de machinis.

But after what manner soever, restitution of a boneout of joynt is performed, foure operations are necessary to doe, it

first Extension, Reposition, Deligation, and Confirmation, * 1.1 and Collocation, of the members so replaced.

Extension, is made, either by the hands of the Chyrurge∣on, or his Servants, or by raynes, bindings and swathings, or Instruments, and Engines, as is said.

Extension being made, the bone which is slid out of its place is to be put into it againe, which worke the Greekes call, Moclia, and Mocleuses, * 1.2 namely a compulsion of a bone that is out of joynt and extended into its owne place, which being slid from or out of the end, in the same way which the joynt slid, it ought to be put back to that place out of which it slid, whereof there are so many wayes as there are joynts.

The joynt being restored, the intention is to be remitted and the member afterwards, so to be strengthned that the joynt cannot againe goe out of its place, * 1.3 which for the most part is performed in the same manner as in fractures.

Lastly the member is to be placed gently, and equally, and to be kept unmoved till the fourth or seventh day. * 1.4

Notes

• * 1.1

  What things are required for the set∣ting of bones.
• * 1.2

  Reposition.
• * 1.3

  Deligation.
• * 1.4

  Colloca∣tion.