Observations on injuries of joints and their treatment / by Rutherford Alcock.

  • Rutherford Alcock
Date:
1840
Catalogue details

Licence: Public Domain Mark

Credit: Observations on injuries of joints and their treatment / by Rutherford Alcock. Source: Wellcome Collection.

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    jecting parts to their proper position, than to gun¬ shot injuries more extensively shattering the bone, and contusing all the parts in the vicinity. Very serious injury of the elbow-joint often ad¬ mits of the limb being saved, even after portions of the articulating ends may have been removed, or the olecranon dissected out, without the arm being rendered useless. Finally, excision of the ends of the articulating bones may be practised with advan¬ tage in a great number of cases in which those parts alone are involved. This operation has been performed many times with good success in cases of disease ; it is still more applicable to injuries. Portions of the articulating surfaces I have dissected out with the happiest result. Much valuable infor¬ mation relative to the operation of excision in the elbow will be found in a work on carious joints, edited by Dr. Jeffray, and also in a treatise of Mr. Svmes, of Edinburgh. This is, however, neither so simple an operation in the performance, nor so likely to do well in the end, as similar cases in the shoulder-joint, which, of all the articulations, is the one to which this operation is best adapted. Of the total excision of the articulating ends of the elbow, I find no instance in the annals either of British or French military surgery, although domestic sur¬ gery has furnished us with many examples for dis- of Mr. White, of Westminster. The result is most satisfactory, the progress of the case having been marked by scarcely any con¬ stitutional disturbance.
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