Lectures On the Use of Massage And Early Movements in Recent Fractures And Other
Lectures On the Use of Massage And Early Movements in Recent Fractures And Other
William Henry Bennett
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The obstacles to the reduction of a dis- location depend comparatively little, as a rule, upon the situation or character of the laceration in the capsule ; occasionally only do some of the difficulties met with in attempts at reduction lie with this structure. The real difficulty is for the most part due to muscular contraction a fact which is amply proved by the manner in which most difficult E2 52 MASSAGE AND MOVEMENTS IN DISLOCATIONS dislocations will often reduce themselves as soon as the ...patient is fully anaesthetised. The longer a dislocation remains unreduced the more marked does this contraction of the muscles become, and the more difficult is it. To remove the bone from its abnormal site. Supposing that a dislocation remains unreduced for five, or six, or eight weeks in a joint such as, for an example, the shoulder, physiological shortening of the muscles takes place ; and in con- sequence a reduction of the dislocation by ordinary means may become practically impossible. I mention these facts, not because I suppose you are unfamiliar with them, but because I wish to emphasise as strongly as possible the importance of muscular contraction and shortening as obstacles to reduction in the vast majority of the dislocations with which we are ordinarily called upon to deal.
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