[p. 290]and leg are wasted. In dislocations inward
they are bandy-legged, and the external parts are atrophied. But,
in dislocations outward, they incline more outward, but are less lame,
for the body is supported on the thicker bone, and the inner parts
are wasted. The consequences of a congenital dislocation, or one occurring
during adolescence, are analogous to the rule formerly laid down.
Part 27
Dislocations at the ankle-joint require strong extension, either with
the hands or some such means, and adjustment, which at the same time
effects both acts; this is common in all cases.
Part 28
Dislocations of the bones of the foot are to be treated like those
of the hand.
Part 29
Dislocations of the bones connected with the leg, if not reduced,
whether occurring at birth or during adolescence, are of the same
character as those in the hand.
Part 30
Persons who, in jumping from a height, have pitched on the heel, so
as to occasion diastasis (separation) of the bones, ecchymosis of
the veins, and contusion of the nerves,-when these symptoms are very
violent, there is danger that the parts may sphacelate, and give trouble
to the patient during the remainder of his life; for these bones are
so constructed as to slip past one another, and the nerves communicate
together. And, likewise in cases of fracture, either from an injury
in the leg or thigh, or in paralysis of the nerves connected with
these parts, or, when in any other case of confinement to bed the
heel, from neglect, becomes blackened, in all these cases serious
effects result therefrom. Sometimes, in addition to the sphacelus,
very acute fevers supervene, attended with hiccup, tumors, aberration
of intellect, and speedy death, along with lividity of the large bloodvessels,
and gangrene. The symptoms of the exacerbations are these: if the
ecchymosis, the blackened parts, and those around them, be somewhat
hard and red, and if lividity be combined with the hardness, there
is danger of mortification; but, not withstanding, if the parts are
sublivid, or even very livid and diffused, or greenish and soft, these
symptoms, in all such cases, are favorable. The treatment consists
in the administration of hellebore, if they be free from fever, but
otherwise, they are to have oxyglyky for drink, if re-