. A practical treatise on fractures and dislocations. tal and another in that of the RoyalCollege of Surgeons at London, and one found by Gurlt de-scribes the first three, and Flower2 mentions the next two. The exactcharacter of NeilPs3 case is uncertain ; in Spences4 () the frac-ture passed in front of the coracoid process; in the others it appears tohave passed through the suprascapular notch. 1 Lane: Loc. cit., p. 415. 2 Flower: Holmess System of Surgery, Am. ed., vol. i. p. 851. 3 Neill: American Journ. Med. Sciences, new ser., 1858, vol. xxxvi. p. 105. 4 Spence: Edinburgh Me
. A practical treatise on fractures and dislocations. tal and another in that of the RoyalCollege of Surgeons at London, and one found by Gurlt de-scribes the first three, and Flower2 mentions the next two. The exactcharacter of NeilPs3 case is uncertain ; in Spences4 () the frac-ture passed in front of the coracoid process; in the others it appears tohave passed through the suprascapular notch. 1 Lane: Loc. cit., p. 415. 2 Flower: Holmess System of Surgery, Am. ed., vol. i. p. 851. 3 Neill: American Journ. Med. Sciences, new ser., 1858, vol. xxxvi. p. 105. 4 Spence: Edinburgh Medical Journal, June, 1863, p. 1082. FRACTURES OF T1IH SCAPULA. 215 Cause. The cause has been a fall or blow upon the shoulder; May1reported a case caused in a girl by the effort of placing a handkerchiefabout, her neck, but it seems more probable (Vum the description thaithe injury was a fracture of the coracoid, Farabeuf found that if the anterior portion of the capsule un-made tense by outward rotation of the arm the neck could be broken Pig. i) Fracture of the neck of the scapula. Spences case. (Gurlt.) by a blow on the back of the head of the humerus or by one uponthe elbow if the arm was also directed backward. Symptoms. The symptoms of the fracture are the flattening of theshoulder, the prominence of the acromion, the absence of the head ofthe humerus from the axilla (where it would be found if the injurywere a dislocation), the easy reduction of the displacement by raisingthe elbow, its immediate return when the support is withdrawn fromthe elbow, and the crepitus which accompanies these movements. Intwo of Gurlts cases the fragment could be felt in the axilla. Thepower of voluntary motion of the arm is lost, but passive movementsare free, and, within certain limits, painless. On the other hand,manipulations which reduce the displacement or bring out crepituscause much pain. Sometimes the lower edge of the fragment can befelt in the posterior and outer part of the axi
Size: 1494px × 1673px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookpublishernewyork, booksubjec
