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be displaced； it must be forced back again to its place as described
with regard to the hand； and is to be treated with cerate； compresses；
and bandages； like the fractures； with the exception of the splints；
and is to be secured tightly in the same way； and the bandages renewed
on the third day； and the patient thus bandaged should return the same
answers as in fractures； as to the bandages feeling tight or slack。
All these bones recover perfectly in twenty days； except those that
are connected with the bones of the leg； and are in a line with
them。 It is advantageous to lie in bed during the whole of this
time； but the patients； thinking light of the complaint； have not
perseverance to do this； and they walk about before they get well；
wherefore many of these do not make a perfect recovery。 And often
the pain puts them in mind of the injury； and deservedly； for the feet
sustain the weight of the whole body。 When； therefore； they walk about
before they are whole； the joints which have been luxated are cured
incompletely； and； on that account； while walking about； they have
pains in the leg from time to time。
10。 But those bones which are connected with the bones of the leg
are larger than the others； and the cure of them when luxuated is more
protracted。 The mode of treatment then is the same； but we must use
more bandages and more splints； and the bandage is to be carried round
to this side and to that； and pressure is to be made as in the other
cases； particularly at the seat of the luxation； and the first circles
of the bandages are to be made there。 And at each time the bandages
are taken off； much hot water is to be used； for in all injuries at
joints the affusion of hot water in large quantity is to be had
recourse to。 And the same symptoms of compression and relaxation
should manifest themselves in the same times； as in the cases formerly
treated of； and the subsequent bandagings should be conducted in
like manner。 These cases get completely well for the most part in
forty days； if the patients have resolution to keep their bed； but
if not； they are subjected to the complaints formerly described； or
still worse。
11。 In persons who jumping from any high object pitch upon their
heel with great force； the bones are separated； and the veins pour
forth their contents； owing to the contusion of the flesh
surrounding the bone； and hence a swelling and much pain supervene。
For this bone （os calcis） is not a small one； protrudes beyond the
line of the leg； and is connected with important veins and tendons；
for the back tendon of the leg is inserted into this bone。 Such
cases are to be treated with cerate； and with compresses and bandages；
and hot water is to be used in large quantity； and they require many
bandages； which ought to be particularly good and appropriate。 And
if the patient happen to have a tender skin about the heel； nothing is
to be done to it； but if； as some have it； the skin be thick and
hardened； it is to be pared down smoothly and thinned； but without
wounding it。 It is not everybody who can apply the bandage properly in
such cases； for if one shall bind the parts； as in other accidents
about the ankle； sometimes bringing a fold round the foot and
sometimes round the tendon； these turns leave out the heel； which is
the seat of the contusion； and thus there is danger that the os calcis
may sphacelate； and if this should take place； the impediment may
endure for life and also in all the other cases of sphacelus； not
proceeding from such a cause as this； as when； from being carelessly
allowed to lie in a certain position during confinement to bed； the
heel becomes black； or when a serious wound has occurred in the leg
and it is long of healing； and is connected with the heel； or when the
same thing happens in the thigh； or when in any disease a protracted
decubitus takes place on the back； in all such cases the sores are
inveterate； troublesome； and frequently break out again； unless
particular attention be paid to the cure； along with much rest； as
in all the cases attended with sphacelus。 And cases of sphacelus
connected with this cause； in addition to other inconveniences； are
attended with great danger to the whole body。 For they are apt to be
attended with very acute fevers； of the continual type； accompanied
with tremblings； hiccup； aberration of intellect； and which prove
fatal within a few days： and there may be lividities of bloody
veins； with nausea； and gangrene from pressure； these diseases may
occur； besides the sphacelus。 Those which have been described are
the most violent contusion； but in general the contusions are mild；
and no great care is required with regard to the treatment； and yet it
must be conducted properly。 But when the contusion appears to be
severe； we must do as described above； making many turns of the
bandage around the heel； sometimes carrying it to the extremity of the
foot； sometimes to the middle； and sometimes around the leg； and； in
addition； all the surrounding parts are to be bandaged in this
direction and that； as formerly described； and the compression
should not be made strong； but we should make use of many bandages；
and it is better also to administer hellebore the same day or on the
morrow； and the bandages should be removed on the third day and
reapplied。 And these are the symptoms by which we discover whether the
case will get worse or not： when the extravasated blood； the
lividities； and the surrounding parts become red and hard； there is
danger of an exacerbation。 But if there be no fever； we must give
emetics； as has been said； and administer the other remedies which are
applicable when the fever is not of a continual type； but if continual
fever be present； we must not give strong medicines； but enjoin
abstinence from solid food and soups； and give water for drink； and
not allow wine but oxyglyky （a composition from vinegar and honey？）。
But if the case be not going to get worse； the ecchymosed and livid
parts； and those surrounding them become greenish and not hard； for
this is a satisfactory proof in all cases of ecchymosis； that they are
not to get worse； but when lividity is complicated with hardness；
there is danger that the part may become blackened。 And we must so
manage the foot as that it may be generally raised a little higher
than the rest of the body。 Such a patient will get well in sixty
days if he keep quiet。
12。 The leg consists of two bones； of which the one is much more
slender than the other at one part； but not much more slender at
another。 These are connected together at the foot； and form a common
epiphysis； but they are not united together along the line of the leg；
and at the thigh they are united together and form an epiphysis； and
this epiphysis has a diaphysis； but the other bone in a line with
the little toe is a little longer。 Such is the nature of the bones
of the leg。
13。 Sometimes the bones connected with the foot are displaced；
sometimes both bones with their epiphysis； sometimes the whole
epiphysis is slightly moved； and sometimes the other bone。 These cases
are less troublesome than the same accidents at the wrist； i