A practical treatise on fractures and dislocations . ing over the sound shoulder, as recom-mended by Velpeau in the use of his dextrin apparatus, or it shouldbe placed at right angles with the body, as recommended by Dupuy-tren. Bryant, of London, recommends essentially the same method. It is scarcely necessary to say that the absolute immobility requiredby the posture treatment must always limit its application, and renderits general employment impossible. Dr. J. A. Packard, of Philadel-phia, regards the scapula, also, as the bone upon which the restorationof the clavicle chiefly depends ; an


A practical treatise on fractures and dislocations . ing over the sound shoulder, as recom-mended by Velpeau in the use of his dextrin apparatus, or it shouldbe placed at right angles with the body, as recommended by Dupuy-tren. Bryant, of London, recommends essentially the same method. It is scarcely necessary to say that the absolute immobility requiredby the posture treatment must always limit its application, and renderits general employment impossible. Dr. J. A. Packard, of Philadel-phia, regards the scapula, also, as the bone upon which the restorationof the clavicle chiefly depends ; and he finds in the serratus magnus theespecial obstacle to this Dr. Eve, of Nashville, Tenn., and Dr. Eastman, of Broome County,N. Y., have also employed this method successfully;3 while Malgaignedeclares it to be the most reliable means of obtaining an exact union. 1 N. Y. Journ. of Med , vol. ii, p. 226. 2 Packard, New York Journ. of Med., 1867. 3 JBost. Med. and Surg. Journ., vol. lvi, p. 468. 198 FRACTURES OF THE CLAVICLE. Fig. Figure-of-8. Albueasis, Lanfranc, Guy de Chauliac, Petit, Parr, Syme, Skey,Brunninghausen, and very many others, especially among the English, have preferred, in order to carry theshoulders back, a figure-of-8; whileDesault, Colles, South, Bryant, andSamuel Cooper have represented thisbandage as useless, annoying, andmischievous. Heister, Chelius, Miller, Breffield,Keckerly,1 Coleman,2 Hunton,3 prefer,for this purpose, some form of back-splint, extending from acromion toacromion, against which the shouldersmay be properly secured. Parker saysthat splints of this kind, with a figure-of-8 bandage, are better than all theapparatus ever invented, while gives his testimony in relationto all dressings of this sort as follows : I do not like any of the apparatusin which the shoulders are drawn backby bandages, as these invariably annoy the patient, often cause excori-ation, and are never kept long in place, the person continually


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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875