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144 CASES ILLUSTRATING THE TREATMENT.
the area of discoloration had extended much further in front.
Movements and massage were again applied. The same evening
his temperature rose to 100", but after the treatment it fell
to 99°.
Saturday, Sept. lUh. Temperature, 99*2°; fell to 98-8° after
treatment; pulse, 78. Swelling still great. The discoloration
more diffused ;
pain less, but jerking spasms.
The same evening the temperature was 9 9 "6°, and pulse 82.
After treatment these were respectively reduced to 9 8 "8° and 78.
The swelling was still great, but the extravasation colour was
changed, and movement in the joint through a small limit was
easier and without pain.
Monday, Sept. l^th. Temperature, 99 ’2°
;
pulse, 84. Swelling
still considerable, and jerking pains annoying on going off to
sleep.
During the following days the pain on moving subsided in a
marked degree, and the discoloration and the swelling rapidly
disappeared. On Sunday, the 15 th, the patient had gone down-
stairs, and after a fortnight he came to Eaton Square. On the
20th of October he left London, although we told him that a
longer stay was necessary. On the 1st November he writes as
follows :
" I find I can walk fairly well, though the leg does not
bend much past the right angle, nor will it go perfectly straight
like the other."
As long as the patient stayed at home he was treated twice a
day, half an hour on each occasion ; afterwards once a day.
XX. INFRA-CLAVICULAE DISLOCATIOl^ OF THE LEFT
HUMERUS.
Marcus F., 47 years old, working man, came to the Marine
Hospital at Pola on the 21st February 1889, with the left
shoulder dislocated. He said that a cart-load of sand had
fallen upon him the day before. The pain in the left shoulder
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