Part 17
The whole hand is dislocated either inward, or outward, but especially
inward, or to this side or that. Sometimes the epiphysis is displaced,
and sometimes there is displacement (
diastasis) of the one bone from
the other. Powerful extension is to be made in this case; and the
projecting part is to be pressed upon, and counter-pressure made on
the opposite side: both modes being performed at the same time, both
backward and laterally, either with the hands on a table, or with
the heel. These accidents give rise to serious consequences and deformities;
but in time the parts get so strong as to admit of being used. The
treatment consists of bandages comprehending the hand and forearm,
and splints are to be applied as far as the fingers; when put in splints,
they are to be more frequently loosed than in fractures, and more
copious allusions of water are to be used.