Lectures on orthopedic surgery . Fig. 186.—Painful wheu tiying to place the hand behind the head. pains dreadfully if I attempt either [to get my handbehind my back or behind my head, and yet I cantouch my opposite shoulder with no*discomfort and Ican with equal ease push my arm forward. So correctis this clinical description that one need never be atloss to anticipate a patients story. 227 Subsequently, shrinking of the shoulder-muscles takesplace, and finally the limb may become wholly abscess forms, which certainly rarely ever occurs inthis adult variety, the first true fluctuati
Lectures on orthopedic surgery . Fig. 186.—Painful wheu tiying to place the hand behind the head. pains dreadfully if I attempt either [to get my handbehind my back or behind my head, and yet I cantouch my opposite shoulder with no*discomfort and Ican with equal ease push my arm forward. So correctis this clinical description that one need never be atloss to anticipate a patients story. 227 Subsequently, shrinking of the shoulder-muscles takesplace, and finally the limb may become wholly abscess forms, which certainly rarely ever occurs inthis adult variety, the first true fluctuation will be madeout in front of the joint. In tuberculous osteitis the first symptom is usuallyrestriction to full rotation and to carrying the arm back-. FiG, 187.—Can easily push the arm forward. ward. The patient finds that he cannot when dressingreach behind him and adjust his clothing with accus-tomed freedom and dexterity, and the arm is heldhugged to the side. Shrinking of the muscles comeson early and is a constant symptom; tenderness topressure may be found over the outer anterior aspect 228 of the head of the humerus, and pain may be com-plained of at the insertion of the deltoid. The progressof the disease, unless aided by art, is from bad to complications are abscess and subluxation. Thetendency of the tuberculous abscess is the same as else-where. If untreated, it descends as it approaches the
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectorthopedics, bookyear
