[p. 249]as formerly,
the bone becomes diseased, and chronic sloughings of the bone in many
cases arise from such causes. But if the mischief be not upon the
bone, but it is the flesh itself which is pulpy, relapses and pains
will return from time to time, if there happen to be any disorder
in the body; wherefore proper bandaging, and for a considerable time,
must be had recourse to, until the extravasated blood forming in the
bruise be dried up and absorbed, and the part be made up with sound
flesh, and the flesh adhere to the bone. The best cure is the cautery
in those cases which, from neglect, have become chronic, and the place
turns painful, and the flesh is pulpy. And when the flesh itself is
pulpy, the burning should be carried as far as the bone, but the bone
itself should not be heated; but if it be in the intercostal space,
you need not make the burning so superficial, only you must take care
not to burn quite through. But if the contusion appear to be at the
bone, if it be still recent, and the bone has not yet become necrosed,
if it be very small, it is to be burned as has been described; but
if the rising along the bone be oblong, several eschars are to be
burned over it. Necrosis of the rib will be described along with the
treatment of suppurating sores.
Part 51
There are four modes of dislocation at the hip-joint: of which modes,
dislocation inward takes place most frequently, outward, the most
frequently of all the other modes; and it sometimes takes place backward
and forward, but seldom. When, therefore, dislocation takes place
inward, the leg appears longer than natural, when compared with the
other leg, for two reasons truly; for the bone which articulates with
the hip-joint is carried from above down to the ischium where it rises
up to the pubes, upon it, then, the head of the femur rests, and the
neck of the femur is lodged in the cotyloid foramen (foramen thyroideum?).
The buttock appears hollow externally, from the head of the thighbone
having shifted inward, and the extremity of the femur at the knee
is turned outward, and the leg and foot in like manner. The foot then
being turned outward, physicians, from ignorance, bring the sound
leg to it and not it to the sound leg; on this account, the injured
limb appears to be much longer than the sound one, and in many other
cases similar circumstances
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