A practical treatise on fractures and dislocations . ubscapularis, and coraco-bra-chialis are put upon the stretch;the subscapularis being alsosometimes completely torn fromits attachment to the head ofthe humerus, and in either case,whether torn or merely com-pressed and stretched, the cir-cumflex nerve, which runsalong its lower margin, is sub-ject to severe injury; the deltoidmuscle is also placed .in a con-dition of extreme tension; whilethe teres major and minor inthis respect are subjected to butlittle change. In some cases a portion orthe whole of the greater tuber-osity is completely d
A practical treatise on fractures and dislocations . ubscapularis, and coraco-bra-chialis are put upon the stretch;the subscapularis being alsosometimes completely torn fromits attachment to the head ofthe humerus, and in either case,whether torn or merely com-pressed and stretched, the cir-cumflex nerve, which runsalong its lower margin, is sub-ject to severe injury; the deltoidmuscle is also placed .in a con-dition of extreme tension; whilethe teres major and minor inthis respect are subjected to butlittle change. In some cases a portion orthe whole of the greater tuber-osity is completely detached, and the fragment displaced by the actionof the muscles inserted into it. In one case the axillary artery has been ruptured. The patient hadbeen thrown down by a runaway horse, and was taken to Jervis StreetHospital, London. On the tenth day Surgeon OReilly tied the sub-clavian artery, and the patient recovered after the loss of two fingersfrom erysipelas and With more or less rapidity, after the occurrence of the dislocation, if. Dislocation of the shoulder downwards into theaxilla. (Subglenoid.) 1 Lehman, Amer Journ. Med. Sci., vol i, p. 242, 18_8. 2 Todds Cyclop. Anat. and Surg., p 616 ; Holmess Surg. vol. ii. p. 827. 576 DISLOCATIONS OF THE SHOULDER. the bone remains unreduced, various changes take place in the ana-tomical relations and structure of the parts. The following is a briefaccount of the condition in which the parts were found in the case ofan old man, whose history is unknown. The dissection was made bymy assistant Dr. Frank Deems, at the Bellevue dead house. Thehead of the humerus was in front of the socket, below the coracoid pro-cess, lying upon the anterior surface of the neck of the scapula. Anew socket was formed in the bone at this point, mostly cartilaginous,and a fibrous capsule inclosed the head of the humerus. The marginsof the old socket were removed, and the socket was filled with fibroustissue. The axillary nerves and artery were
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
