Gilbertus Anglicus - Medicine of the Thirteenth Century by Henry Ebenezer Handerson
page 88 of 105 (83%)
page 88 of 105 (83%)
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(_brachium_) or arm (_humerum_) of the patient, and with the other
hand press down upon the projecting portion of the bone. Then apply a pledget moistened with albumen, a pad and a splint in form of a cross, and over all a long bandage embracing both the arm and the neck and suspending the arm. A pad (_cervical_) should also be placed in the axilla to prevent the dropping of the arm, and should not be removed until the fracture is repaired. If the fracture is compound, the wound of the soft parts is to be left open and uncovered by the bandage, so that a tent (_stuellus_) may be inserted, and the wound is then to be dressed in the ordinary manner." Simple fracture of the humerus, Gilbert tells us, is to be reduced (_ad proprium locum reducator_) at once by grasping the arm above and below the seat of fracture and exercising gentle and gradual extension and compression. Then four pieces of lint wet in egg-albumen are to be placed around the arm on all sides, a bandage, four fingers wide, also moistened in albumen is to be snugly applied, another dry bandage placed above this, and finally splints fastened in position by cords. This dressing is to remain undisturbed for three days, and then renewed every third day for nine days. After the ninth day a _strictura_ (cast, apparatus immobile?) is to be prepared and firmly applied with splints and a bandage, and the patient is to be cautioned not to bear any weight upon the injured arm (_ne infirmus se super illud appodiet_?). The fracture is then left until it is believed that consolidation has occurred. If, however, it is found that swelling is occasioned by the cast (_ex strictorio_?), the latter should be removed, and the arm well bathed in warm water containing mallowae and other emollients and thoroughly cleansed. If the bone seems to be well consolidated, it should be rubbed with an ointment of _dialthea_ or the _unguentum marciation_, after which the splints and bandage are |
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