Archive image from page 600 of The cyclopædia of anatomy and. The cyclopædia of anatomy and physiology cyclopdiaofana0401todd Year: 1847 ABNORMAL CONDITIONS OF THE SHOULDER JOINT. 579 ever she moves her arm in the slightest de- gree the scapula follows the luimurus, so Fig. 427. Case of M. Moore : Articular caries of the right shoulder joint; second stage of the disease, that in the voluntary movements of the upper extremity really no motion takes place in the shoulder joint; but if we grasp the scapula, and thus firmly fix it, and at the same time move the humerus, a distinct crepitus is
Archive image from page 600 of The cyclopædia of anatomy and. The cyclopædia of anatomy and physiology cyclopdiaofana0401todd Year: 1847 ABNORMAL CONDITIONS OF THE SHOULDER JOINT. 579 ever she moves her arm in the slightest de- gree the scapula follows the luimurus, so Fig. 427. Case of M. Moore : Articular caries of the right shoulder joint; second stage of the disease, that in the voluntary movements of the upper extremity really no motion takes place in the shoulder joint; but if we grasp the scapula, and thus firmly fix it, and at the same time move the humerus, a distinct crepitus is oc- casionally elicited, of which the patient her- self also is conscious. When the arm is per- mitted for a moment to hang down by her side unsupported, she has great pain, ant she feels the advantage of keeping it constantly in a sling, with her hand as high as her oppo- site collar bone. The muscles surrounding the right shoulder joint were observed to be in a wasted condition ; this shoulder seemed higher up than the other, and the clavicle of this side to have a corresponding obliquity. The history she gives of the origin and progress of this disease is, that she has had a certain degree of pain and uneasiness in the articulation for the last four years, but that it never swelled much nor became in- flamed, nor did it prevent her from follow- ing her occupation as housemaid, until three months ago, when she felt compelled to give up her situation. She referred the aggrava- tion of her distress latterly to an injury the joint received from a severe fall she got down an entire flight of stairs. The latter circumstance in the history of her case made us more particular in our inquiries as to whether any fracture or dislocation could have occurred at the moment of this accident, and have been left unreduced. We were readily satisfied that there had been no frac- ture, as the affected arm was longer than the other. The deltoid muscle was flattened and the acromion was seen pr
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