. A practical treatise on fractures and dislocations. too slight to be clinically recognizable. An important form of impaction is that in which the shaftpasses to the front and outer side of the head and the latteris thereby brought to a lower point on its inner side (Fig. 120).It is claimed by Hutchinson that the rising of the shaft under thepull of the deltoid may press the head so far inward and downwardthat the final position may resemble that of a dislocation below thecoracoid. The tendon of the long head of the biceps may be torn in theseextreme displacements. Injury of the axillary ves.
. A practical treatise on fractures and dislocations. too slight to be clinically recognizable. An important form of impaction is that in which the shaftpasses to the front and outer side of the head and the latteris thereby brought to a lower point on its inner side (Fig. 120).It is claimed by Hutchinson that the rising of the shaft under thepull of the deltoid may press the head so far inward and downwardthat the final position may resemble that of a dislocation below thecoracoid. The tendon of the long head of the biceps may be torn in theseextreme displacements. Injury of the axillary ;^els and nerves isextremely rare; thrombosis of the artery in consequence of bruising hasbeen seen, the axillary vein has been torn in a compound fracture, ami 246 FRACTURES. tlie nuisculo-spiral nerve has been so compressed as to cause paralysisof motion and sensation in its area of distribution. In an oblique fracture the sharp end of the lower fragment mayapproach or become engaged in or even perforate the skin, usually on Fig. 121. Fig.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectfractur, bookyear1912
