. Transactions of the Southern Surgical and Gynecological Association. d been donein the way of successful treatment of these injuries. Toogreat stress was laid upon efforts to reduce by manipulation,and McBurney cites six cases where death resulted from theviolent and persistent efforts which were resorted to inattempting to bring about reduction. Numerous cases arerecorded where fracture of the neck of the humerus occurredin attempting the reduction of difficult shoulder dislocations. The older methods of treating fracture dislocation at theshoulder consisted of: 1. Reduction of the dislocat


. Transactions of the Southern Surgical and Gynecological Association. d been donein the way of successful treatment of these injuries. Toogreat stress was laid upon efforts to reduce by manipulation,and McBurney cites six cases where death resulted from theviolent and persistent efforts which were resorted to inattempting to bring about reduction. Numerous cases arerecorded where fracture of the neck of the humerus occurredin attempting the reduction of difficult shoulder dislocations. The older methods of treating fracture dislocation at theshoulder consisted of: 1. Reduction of the dislocation by manipulation. Thisshould still be practised with gentleness. 2. Securing union in the fracture and then attemptingto reduce the dislocation by manipulations, using the reunitedshaft of the humerus as a lever. Oger, cited by McBurney,collected all cases treated in this manner, 10 in number,with 7 absolute failures and 3 doubtful Thephysician who originally treated Roysters first case selectedthis plan of treatment, and the fracture had united when. Fig. 1


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