Lectures on orthopedic surgery . Fig. 190,—Arthritis with ankylosis. Pathologic displacemeut of head ofhumerus. dependent upon liquefaction of the head of the is almost always accompanied by ankylosis. Thiscondition is not dissimilar in appearance to an oldunreduced traumatic dislocation. The head of the 231 bone is not in reality very much out of position, butthe capsule of the joint has become shortened, and this,in conjunction with the hugging of the arm and themarked atrophy of the deltoid, produces a strong like-ness to a subclavicular or to a subcoracoid Fig. 191.—
Lectures on orthopedic surgery . Fig. 190,—Arthritis with ankylosis. Pathologic displacemeut of head ofhumerus. dependent upon liquefaction of the head of the is almost always accompanied by ankylosis. Thiscondition is not dissimilar in appearance to an oldunreduced traumatic dislocation. The head of the 231 bone is not in reality very much out of position, butthe capsule of the joint has become shortened, and this,in conjunction with the hugging of the arm and themarked atrophy of the deltoid, produces a strong like-ness to a subclavicular or to a subcoracoid Fig. 191.—Rear view of patient shown in Fig. 190. One of the authors (R. J.) has, on frequent occasions,been asked to reduce such shoulders, the patients andoften their medical advisers failing to recognize the truenature of the lesions. We will briefly relate the his- 232 tory of a case by way of example, which shows thedanger of not makmg a correct diagnosis. A gentlemanbrought his son, a youth of 19 years, to consult abouthis shoulder which, it was said, had been dislocated forover two years. He had already been to the metropolisand had consulted three surgeons of repute. One hadsuggested excision of the head of the humerus, anothermanipulation under anesthetics, and the third counseleda let-alone policy. All of them, however, acquiesced inthe belief that they were dealing with a case of neg-lected dislocation. When the patient was examinedwe had no difficulty, even before inquiry into the his-tory of the lesion, in deciding that the case was one ofpathologic subluxation followin
Size: 1375px × 1817px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjectorthopedics, bookyear
