The treatment of fractures . — Head of humerus. Shaft of humerus Fig. 163.—Fracture of the surgical neck of the humerus. Displacement of the shall outwanImpossible to reduce without open incision (X-ray tracing 1 (Eliot). 135 136 FRACTURES OF THE HUMERUS patient, showing displacement forward and inward of the shaft,is very suggestive of epiphyseal separation. Fracture of the Surgical Neck (see Figs. 159, 160, 161, 162,163, 164).—Any fracture below the epiphyseal line of the upperend of the humerus and well within the upper fourth of theshaft of the bone may, for all practical purposes, be rega
The treatment of fractures . — Head of humerus. Shaft of humerus Fig. 163.—Fracture of the surgical neck of the humerus. Displacement of the shall outwanImpossible to reduce without open incision (X-ray tracing 1 (Eliot). 135 136 FRACTURES OF THE HUMERUS patient, showing displacement forward and inward of the shaft,is very suggestive of epiphyseal separation. Fracture of the Surgical Neck (see Figs. 159, 160, 161, 162,163, 164).—Any fracture below the epiphyseal line of the upperend of the humerus and well within the upper fourth of theshaft of the bone may, for all practical purposes, be regardedas a fracture of the surgical neck of the humerus. Fracture ofthe surgical neck is the common fracture of the upper end ofthe humerus. Fracture of the anatomical neck is most oftenseen in the aged. Separation of the upper humeral epiphysisoccurs in — Upper Lower fragment. Fig. 164.—Fracture of surgical neck of the humerus. Same as Bgure 163 after reductionby open incision and wiring with silver win-. Recovery as to motion complete (X-raytracing) (Eliot). The head of the bone is found in the glenoid cavity. Passivemovements are associated with pain, and elicit crepitus andabnormal mobility at the seat of fracture, provided, of course,the fracture is not impacted. The arm is slightly arm is held flexed, with the elbow at the side. If after an injur)-to the shoulder no positive evidences of frac-ture or dislocation exist, and there is tenderness and localizedswelling about the joint, and motion is painful, it is probable thatsimply a contusion exists. FRACTURES OF THE UPPER END OF THE HUMERUS I 3/ Treatment.—Fracture of the Anatomical and the SurgicalNeck and Separation of the Upper Humeral Epiphysis.—The importance of these lesions demands, as has been said, an exami-nation with the aid of an an
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
