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Updated: June 21, 2025
"Now, he labored under a very singular malady, not that I ever knew it at the time, a kind of luxation of the lower jaw, which, when it came on, happened somehow to press upon some vital nerve or other, and left him perfectly paralyzed till it was restored to its proper place.
Being very prominent when there is an upward luxation and less perceptible in downward displacement, the location of the trochanter major is an indicator of the character of the luxation with respect to the position of the head of the femur. This variation of position causes abnormal tenseness or looseness of the skin over the region of the trochanter major.
The leather splints are placed mesially and laterally and, of course, need to extend as high as the proximal end of the radius. Subjects must be kept in slings until union of bones has become established, and as a rule there will then exist marked ankylosis. There is no particular difference in the handling of carpal luxation and dislocation of other bones.
Traction is exerted in the same direction from the acetabulum that the head of the femur is situated and by pressing over the joint, the displaced bone may be returned in position. If luxation is downward, traction on the extremity will tend to dislodge the head of the femur from the inferior acetabular margin making reduction possible.
Reduction of the luxation is effected by making use of the same general principles that are employed in the reduction of all luxations, and they are the control of the animal so that the manipulations of the operator are not antagonized by muscular contraction, which is best accomplished by anesthesia; placing the luxated bones in the position which they have taken to become unjointed; and then making use of force which is directed in a manner opposite to that which has effected the luxation.
This operation has been found a corrective in cases of outward luxation as well as those of upward dislocation of the patella when resorted to before the trochleae are worn from frequent luxation.
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