Part 41
But if the articular extremity of the humerus be carried to either
side above the bone of the fore-arm, which is prominent, into the
hollow of the arm (?), this rarely happens; but if it does happen,
extension in the straight line is not so proper under such circumstances;
for in such a mode of extension, the process of the ulna (
olecranon?)
prevents the bone of the arm (
humerus?) from passing over it. In dislocations
of this kind, extension should be made in the manner described when
treating of the bandaging of fractured bones of the arm, extension
being made upward at the armpit, while the parts at the elbow are
pushed downward, for in this manner can the humerus be most readily
raised above its cavity; and when so raised, the reduction is easy
with the palms of the hand, the one being applied so as to make pressure
on the protuberant part of the arm, and the other making counter-pressure,
so as to push the bone of the fore-arm into the joint. This method
answers with both cases. And perhaps this is the most suitable mode
of reduction in such a case of dislocation. The parts may be reduced
by extension in a straight line, but less readily than thus.