Complete simple luxation of the astragalus forwards and inwards — excision of the bone — recovery, with a useful limb.

Brinton, John Hill, 1832-1907.

Journal : Photographic review of medicine & surgery ; vol. 1, no. 2.

Philadelphia : J. B. Lippincott & Co., 1870-71.

Description : pp. 16-19, [1] pl. ; ill.: 1 photo. ; 24 cm.

Photograph : mounted albumen.

Subject : Astragalus — Dislocation.

Notes :

• Author caption: "BY JOHN H. BRINTON, M.D., Surgeon to the St. Joseph's Hospital, Surgeon to the Philadelphia Hospital, and Lecturer on Operative Surgery in the Jefferson Medical College."
• Reference: Hamilton, Frank Hastings (1891), A Practical treatise on fractures and dislocations. Philadlephia: Lea Brothers; (p. 792).
• Brinton was appointed Mütter lecturer on surgery and pathology in 1869.
• Brinton chaired the Mütter Museum executive committee.
• Index Medicus: 10106551470.

At present (November, 1870) the wound is solidly closed, the heel is elevated about one inch and three-quarters, and the foot presents the peculiar double curve exhibited in the photograph. A slight degree of motion exists at the ankle-joint, and the extremity, although shortened, is firm and capable of sustaining the weight of the body without pain. He now walks comfortably with the aid of his cane alone and wearing a high-heeled laced shoe without metallic supports. As evidence of the power yet remaining in the ankle, I may state that, unassisted and without either crutch or stick, Mr. L. mounted to the third story of the gallery in which the accompanying photograph was taken.

In his capacity as the first director of the Army Medical Museum established in 1862, one of Brinton's first initiatives was the hiring of photographer William Bell to document Civil War injuries.