. A practical treatise on fractures and dislocations . ection. Thiscompress will more effectually accomplish this indication if the rollerwith which it is secured to the body, and with which we seek to im-mobilize the scapula and chest, is turned from before backwards, orin a direction of antagonism to the action of the muscles which pro-duce the displacement. Desault, with Chelius and Bransby Cooper, has recommended also,in the case of a fracture through the angle, that the forearm shouldbe acutely flexed upon the arm, and that the hand should be placed infront of the chest, upon the sound sh
. A practical treatise on fractures and dislocations . ection. Thiscompress will more effectually accomplish this indication if the rollerwith which it is secured to the body, and with which we seek to im-mobilize the scapula and chest, is turned from before backwards, orin a direction of antagonism to the action of the muscles which pro-duce the displacement. Desault, with Chelius and Bransby Cooper, has recommended also,in the case of a fracture through the angle, that the forearm shouldbe acutely flexed upon the arm, and that the hand should be placed infront of the chest, upon the sound shoulder, a position which is alwaysirksome, and sometimes insupportable, and which does not offer in anycase sufficient advantages to render it worthy of a trial. § 2. Fractures of the Neck of the Scapula. If by the neck of the scapula, surgeons mean that slightlyconstricted portion of this bone which is situated at the base of theglenoid cavity, and it is to this portion, we believe, that anatomists FRACTURES OF THE NECK OF THE SCAPULA. 209 Fig. Comminuted fracture of tlieglenoid cavity. have generally applied the term neck, then its fracture is cer tainly very rare. Indeed, its existence, uncomplicated with a comminuted fracture of the glenoid cavity, is denied by Sir Astley Cooper, South, Erichsen, and others. Mr. South says there is no such specimen in any of the museums in London; and I have not been able to find one in any of the American cabinets. Dr. Mott has said tome that he had never seen a specimen, and that in the natural condition of the bone he regards its oc-currence as impossible. Such, I confess, also, is my own conviction. If, however, it is intended, in speaking of frac-tures of the neck of the scapula, to refer, as Sir Astley Cooper has done, only to fractures extend-ing through the semilunar notch, behind the root of the coracoid process, then its existence is cer-tain ; yet the fracture is not common. Duverney has reported one example, the existence
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