A practical treatise on fractures and dislocations . g-ments, the same as in compound fractures. Gibson, however, thinks that the fragment occa-sionally remains, being gradually absorbed andchanged in figure. He says that his museum con-tains three or four well-marked cases of this kind,in all of which the head has lost its spherical form,and is very much diminished, and rough and flat-tened next to the Other cabinets are saidto contain similar specimens. The displacements to which the upper fragment,or the head of the bone, is subject, are remarkable,and some of them do not seem to
A practical treatise on fractures and dislocations . g-ments, the same as in compound fractures. Gibson, however, thinks that the fragment occa-sionally remains, being gradually absorbed andchanged in figure. He says that his museum con-tains three or four well-marked cases of this kind,in all of which the head has lost its spherical form,and is very much diminished, and rough and flat-tened next to the Other cabinets are saidto contain similar specimens. The displacements to which the upper fragment,or the head of the bone, is subject, are remarkable,and some of them do not seem to be satisfactorilyexplained. Frequently, indeed, its position is notsensibly disturbed, but at other times it is foundimpacted, or driven into the cancellous structureof the inferior fragment, in consequence of whichone or both of the tubercles are frequently broken off. Robert Smith relates the following case as having afforded him hisfirst opportunity of ascertaining by post-mortem examination the exactnature of this form of displacement: Fig. Fracture of the anatomi-cal neck. 1 Gibson, Elements of Surgery, vol. i, p. 279. 224 FRACTURES OF THE HUMERUS. A female, set. 47, was admitted into the Richmond Hospital, underthe care of the late Dr. McDowell, for an injury to the humerus, theresult of a fall upon the shoulder. Five years afterwards, the womanwas again admitted, under the care of Mr. Adams, with an extracap-sular fracture of the neck of the femur, one month after the occurrenceof which she died, in consequence of an attack of diarrhoea. The shoulder was of course carefully examined; the arm wasslightly shortened, the contour of the shoulder was not as full or roundas that of its fellow, and the acromion process was more prominentthan natural. Upon opening the capsular ligament, the head of thehumerus was found to have been driven into the cancellated tissue ofthe shaft, between the tuberosities, so deeply as to be below the levelof the summit of the greater tubercl
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
