I replied that this might very well be done, provided the tooth came out without being broken, without any splintering of the alveolus, or great laceration of the gum.
The laceration of the aponeurosis of the quadriceps, the tilting of the fragments, and the interposition of the torn periosteum between them, can in no other way be rectified with certainty.
Like other dislocations, those of the hip may be complicated by laceration of muscles, blood vessels, or nerves, or by fracture of one or other of the bones in the vicinity.
The blood is usually effused into the anterior cornua of the grey matter and into the central canal, and there is a varying degree of laceration of the nerve tissue, in addition to pressure exerted by the extravasated blood.
The symptoms of shock may be the only evidence of injury, or they may be superadded to those of fracture of the skull, or laceration of the brain.
Irregular bodies with projecting edges or hooks, such as tooth-plates, tend to catch in the mucous membrane, and attempts to withdraw them by forceps or other instruments are liable to cause laceration of the wall.
The commonest cause of extra-dural hæmorrhage is laceration of the middle meningeal artery.
This "lucid interval" helps to distinguish the symptoms due to middle meningeal hæmorrhage from those of laceration of the brain substance, as in the latter the symptoms of concussion merge directly into those of compression.
In the majority of cases they are complicated by fracture of one or more of the constituent bones of the joint, as well as by laceration of muscles, tendons, and blood vessels.
She had an abundance of milk and nursed the child; the labor was of about eighteen hours' duration, and laceration was avoided.
Boulting reports a case of an individual who suffered compound fractures of the skull and humerus, together with extensive laceration of the thigh and chest, and yet recovered.
Hamilton reports a case of laceration of the perineum with penetration of the pelvic cavity to the depth of ten inches by a stick 3/4 inch thick.
However, if the wound involve the base of the organ, with extensive laceration of the surrounding parts, death is practically instantaneous.
In this instance the gestation had not been prolonged, the delivery was spontaneous, and there was no laceration of the parts.
While they were preparing to effect delivery by the vagina, the woman, in an attack of singultus, ruptured the line of laceration and expelled the fetus, dead.
She died in a few hours, and at the autopsy it was found that labor had not begun, but that the pregnancy had caused a laceration of the spleen, from which had escaped four or five pints of blood.
This accident consists in the laceration of the corpora cavernosa, followed by extensive extravasation of blood into the erectile tissue.
Wiltshire reports such a case in a woman who had a most prominent sacrum; the laceration was transverse and quite extensive, but the woman made a good recovery.
On opening the pericardium it was found to be filled with blood-clot, and on washing this away a laceration about 1 1/2 inches in length was found in the left ventricle; the aperture was closed by a recent clot.
There was at first a grave emphysematous condition due to the laceration of several broken ribs.
Unless the laceration is extremely small, protrusion of the stomach or some other viscera into the thoracic cavity will almost invariably result, constituting the condition known as internal or diaphragmatic hernia.
Chandler relates an instance in which there was laceration of the liver during parturition; and Hubbard records a case of rupture of the spleen after labor.
Croom notes a case of retention of urine from laceration of the vagina during first coitus.
Laceration ensues and much difficulty in extraction, for Nature has given these, her baby cacti, sharp and relentless protectors.
This lacerationwas surrounded by evidences of recent inflammation, and caused the general peritonitis.
Van Buren cites a case in which a sudden laceration of the integument and sphincter occurred during forcible dilatation in a case of hemorrhoids in a very broken-down subject, with very copious hemorrhage.
In old men, too, force sufficient for reduction cannot be employed without great risk of laceration of nerves, bloodvessels, and muscles.
Separation of the muscular fibres, however, is rare; laceration of the tendon itself, or separation of the tendon from the muscle, is more common.
If the injury occurs high in the cervical region, immediate death ensues, from compression or laceration of the medulla oblongata.
Discoloration and rapid swelling take place from extravasation of blood into the cellular tissue, into the sheaths of the tendons, and perhaps into the synovial pouches, in consequence of laceration of the bloodvessels.
Fracture may be complicated with wound or displacement of a neighbouring joint, and with laceration of large bloodvessels and nerves.
The yielding of the broad tendons on the upper and fore, lateral and under parts of the abdomen, affords an example of laceration of tendinous fibre from violent exertion.
The synovial membrane, and the fibrous tissue exterior to it, are almost always torn in complete luxation; but the extent of laceration varies in different joints, according to the direction of luxation and the degree of displacement.
In cases of laceration of an artery, when its coats have been forcibly torn rather than divided, little or no bleeding takes place.
The tumour may also occupy unexpected situations, occurring after fracture of the bones and laceration of an artery, and perhaps from more slight external injuries.
Laceration of the iris in the extraction of cataract, or an improper performance of the operation for cataract with a needle, is by no means an unfrequent cause of the affection.
The circulation may be merely disturbed, or laceration of the brain may occur with extravasation of blood into its substance.
Forceps are introduced, of sufficient length and grasp, and the foreign body removed without laceration or bruising of the parts.
The most frequent of these injuries is laceration of the cervix uteri, which is frequent in precipitate labour.
Laceration of the skin and underlying tissue requires complete rest and careful removal of any particles, of dirt and gravel that may be present in the wound.
Laceration of skin interferes with the movement of the knee and the animal may be quite lame.
And, finally, although there is in the transition from doubt to certainty a laceration of the heart, it is at least the laceration of a heart prepared.
The protrusion of the bladder, however, through a laceration sustained in calving, in the floor of the vagina and its subsequent protrusion through the vulva, is sometimes met with.
This accident is not uncommon where cattle are fenced in by barbed wire; an animal may be caught under the eyelid by the horn of another, or the laceration may occur in the stable by means of a projecting nail or splinter of wood.
In other cases the womb escapes through a great laceration of the abdominal muscles to one side of the udder, and the hernial mass extends down to one side of that organ.
In some roomy cows a calf may be dragged through the passages by ropes attached to the bent hocks, but even when this is possible there is great risk of laceration of the floor of the vagina by the feet.
Other causes are laceration of the cotyledons of the womb, or from an antecedent inflammation of the placenta, and the unnatural adhesion of the membranes to the womb, which bleeds when the two are torn apart.
In this way the foot may be brought safely and easily over the brim of the pelvis without any risk of laceration of the womb of the foot.
If the laceration has happened during eversion of the womb it is usually less redoubtable, because the womb contracts more readily under the stimulus of the cold air so recently applied.
If the fracture should be through the body of the bone, there may be pressure on or laceration of the spinal cord, causing paralysis of all parts posterior to the seat of injury.
Laceration of the roof of this passage is also met with as the result of deviations of the hind limbs and feet upward when the calf lies on its back.
For a compound lesion when there is laceration of the skin some special care is necessary.
This term expresses a more or less complete laceration or yielding of the fibers of the muscles, tendons, or the sheaths surrounding and supporting them.
Lacerated and contused wounds may be described together although there is, of course, this difference, that in contused wounds there is no break or laceration of the skin.
A wound is an injury to any part of the body involving a solution of continuity or disruption of the affected parts and is caused by violence, with or without laceration of the skin.
The simple laceration of the anus is easily sewed up, but the ends of the muscular fibers do not reunite and the control over the lower bowel is never fully reacquired.
Strains or wrenches of joints, ligaments, and tendons cause trouble bylaceration of the tissue.
The only interest a lacerationor a tear has to a physician, is whether the laceration or tear is of sufficient importance to need surgical interference.
The laceration can take place at the mouth of the womb, or on the outside, between the vagina and rectum.
Another important reason for finding out the character of the laceration is because these lacerations of the mouth of the womb frequently cause sterility.
The fragmentation of the fibula, lying close to the skin, would produce considerable laceration in the wound of exit.
The energy of the projectile, imparted to small fragments of cancellous tissue, drove them through the wound of exit, and caused the laceration of the superficial tissues.
Smaller fragments which received some of the energy of the missile have been carried along with it in turn, striking the ulna and carrying away smaller fragments from it and causing the laceration which marks the wound of exit.
Wound of exit, large lacerationin front and above the internal condyle.
Wound of entrance, posterior aspect of forearm over the lower end of the radius, with the bullet ranging forward and slightly downward to the wound of exit and covering with great laceration the anterior aspect of the wrist joint.
Such wounds, with laceration of soft parts and fragmentation of the bone, are prone to infection, against which treatment is directed.
A dislocation, especially if complicated in any way by considerable laceration of the tissues in the neighborhood of the luxated joint, is sure to be a source of discomfort of this kind.
When a bone is broken there is usually laceration of the surrounding tissues.
Many of the painful conditions described as lumbago are due to old injuries, to wrenches and sprains in this region due especially to heavy lifting and to the laceration of ligaments from over-exertion.
One group is composed of clotted blood within cavities resulting from the laceration of tissues or in preformed spaces.
The laceration appears to have taken place imperceptibly: the child was very putrid; and as the os uteri was sufficiently dilated, the head was perforated, and "was brought away almost without any assistance.
The anterior margin of the perineum, called fraenulum, is, we believe almost invariably ruptured in every first case; but the laceration ought not to extend farther.
As the head approaches the os externum our attention must be directed to giving the perineum such a degree of support, as shall secure it from any serious degree of laceration during its passage.
Where the peritoneal coat only has been torn, we may have many of the above-mentioned symptoms resulting from laceration of the uterus, without any impediment to the progress of labour.
Lastly, we may mention a very singular species of laceration of the uterus, of which we know of but two cases, the one recorded by Mr. P.
Gunshot wounds vary in gravity from the simplest laceration of cuticle to the instantaneous destruction of life.
The lower maxilla was broken in three places, and there was extensive laceration of the soft parts.
The number of deaths which resulted were 21 among the men, chiefly cases of extensive laceration involving the urinary apparatus; among the officers, none.
Large fragments of heavy shells generally produce immense laceration and separation of the parts against which they strike, but do not carry away or grind, as round shot.
Into this slit the swollen and edematous mucous membrane was apt to force its way, and (as can readily be understood) in the removal of the tube considerable laceration in the tissues usually was inflicted.
Indeed some authors are of opinion that most cases of laceration are caused by the shoulders.
In the female who has already borne children it is somewhat open, so that the finger may often be introduced; and the lips feel rough, owing to scars and laceration in previous deliveries.
Even in weapons different degrees of barbarity are clearly discernible, according as they are intended to effect a disabling wound, or a wound that will cause needless laceration and pain by the difficulty of their removal.
