The practice of surgery : embracing minor surgery and the application of dressings, etc., etc., etc. . The Treatment consists in elevating the humerus, thus makinga splint of the head of the bone, which keeps the broken parts inapposition. The arm should be maintained in this position by theapplication of the apparatus for fractured clavicle, without thewedge-shaped pad, the indication in fracture of the acromion beingmerely to raise the Fracture at the Neck of the Scapula.—In this accidentthe broken fragment consists of the glenoid cavity and coracoidprocess. FRACTURE OF THE CLAVICLE. 1
The practice of surgery : embracing minor surgery and the application of dressings, etc., etc., etc. . The Treatment consists in elevating the humerus, thus makinga splint of the head of the bone, which keeps the broken parts inapposition. The arm should be maintained in this position by theapplication of the apparatus for fractured clavicle, without thewedge-shaped pad, the indication in fracture of the acromion beingmerely to raise the Fracture at the Neck of the Scapula.—In this accidentthe broken fragment consists of the glenoid cavity and coracoidprocess. FRACTURE OF THE CLAVICLE. 173 Diagnosis.—Much care is necessary to distinguish this accidentfrom dislocation. The fractured portion of the scapula is retainedin contact with the head of the humerus by the long heads of thebiceps and triceps muscles: the head of the humerus, with thedetached fragment of the scapula, is drawn downwards and for-wards into the axilla by the subscapulars, pectoralis major, andlatissimus dorsi muscles. There is flatness of the shoulder, promi-nence of the acromion, with a vacancy beneath it; the limb issomewhat lengthened, and the head of the humerus lodged in theaxilla, as observed in cases of dislocation of the head of the hume-rus. But, by very gentle effort, the head of the bone may bereplaced, and the deformity disappears. When support to the partis withdrawn, the displacement and deformity reappear, which isnot the case in d
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