Cheraw gazette and Pee Dee farmer. [volume] (Cheraw S.C.) 1838-1839, 1839-11-01

ing than the wood ot nOrlnern trees.
CHERAw GAz.
The following article will be interesting only to
our professional readers. Those Of this class
who have not already seen it, will, we doubt
not, thank us for copying it. We once saw
lad with dislocation of the radius forward,
in which physician after long and painful
effort at reduction-painful to both himself and
patient--6nally gave up in despair. Some time
after all inhAmatlon and pain in the part had
subsidized, the motion Of the irm SO far changed
tho position Of the head Of the radius, as to
allow considerable freedom Of motion to the
forearm, and enable the patient to carry his
hand TO the mouth thus, in sumo measure,
lessening the Inconvenience and awkard de-
formity. The case was still, however, on
ugly one to both physician and patient. Had
the physician seen DR.. Norths paper, he might
have been spared .he modification which the
case must have caused. DR.. North, the au-
thor ofthe article before us, is scientific and
highly respectable physician Of New London,
Conn who in the course Of long profes
sionl life, has given to the public original and
valuable views on several srbjocts connected
with his profession some of which he once
rev from tho Royal N edical Society of Lon
don, a spontaneous express on Of appreciation
and thanks.
Remarks on the Dislocalion Of The Head of
the Radius |orrards. BY ELISHA
North. NJ. D.
Communicated for the New England Journal Of
Medicine and Surgery.
That Sir Asiy Cooper OF London should
saw, when treating Of dislocatons oi the
elbow ioiat, that he had seen only six exam-
ples of the disloca.ion Of the head ofthe
radius forwards, struck my mind with as
tonishment. Equal surprise was also excl.
ted, when he says this Iuxa'ion appears 10
b. difficult one to reduce; and that in the
two first cases of The kind all attempts a.
reduction were unsuccessful. But this sur
prise was somewhat lessened, when he
Immediately afterwards informs US, that the
las; patient was placed upon sofa, and
lhe arm was put over back OF 1t, and ex..
tension was made from the hand. without
.,. ,S.i.ux .l.ss- -ll...-, -kl.< scE"ss-6U
be the mast likely mode of succeeding.
From this | discovered that Sir Ashley
was 80 unfortunate as not TO know, with alt
his great knowledge and experience, how
10 remedy this evil. See New England
Journal of Medicine and Surgery, third
series, Vol. II. p. 426. The signs, or
marks, which Sir Asy has given, by which
this luxalion may be known, are good oues'
as detailed in the Journal, for | have not
vet seen the original work 1t might have
been proper to have mentioned, that sud-
drn ex'cn ion ard Pronatlon OF the lore.
arm, is commonly the cause OF this accident.
And tina, this is done ny foreign force,
applied when the mind of tho pat ent is mol
operating upon the muscles OF The arm. In
the numerous cases which | have seen,
much more numerous than those given by
Sir Ashley Cooper, the uxation has been
produced by a sudden jerk, given the arm
by another person. And this is The reason
why this Injury IS more commonly lound
among children. For these, as Is we'll
known, ure often pulled BY one arm, and
sometimes carelessIy, BY those who have
the care Of lhrm.
| have been nluced to re-pcruse Memoir
10Th, of Dr.. Caldwell's Translation Of De.
sault on Fractures and Luxations. From
this memoir, i, appears that even that ccle.
brated French surgeon was more unfortu.
nare than Sir Ashley Cooper. For he has
no, even given the signs, oy which ii may
be- known, when the luxaion of the radius
over the ulna has taken place. And even
doubts the accuracy Of Duverny and other
French surgeons, who report such cases TO
have happened. He attempts TO show, from
anatomical considerations, that such an
accident, from violence, mus be extreme
" rare, if it ever occurs. |: seems also,
That when Desault found this kind Of luxa-
ion in children complicated with swell
ling Of the Joints, he considered it kind Of
chronic affection, and that sometimes it
could not be reduced by the expedien's o!
art. He has also neglected, or rather avoid.
I'd, informing US what those expedien's of
art were. Now, judging from my own ex-
perence in similar cases. believe that If
the Doctor had known how 10 replace the
bone in such cases, the swelling would have
disappeared, and that too in short time.
once had n young girl. TO whom another
surgron had been called, and who had. as
he said, reduced the shoulder joint. But |
found, upon examination, the docloi had
made sad mistake. For it was the elbow
and no! the shoulder, that had received the
injury. The elbow was very much Swell