. Manual of operative surgery. Fig. 1432.—(Wyeth.) Shoulder-joint amputation. Pins and rubber-tube tourniquet in position. Anterior circumfle Posterior circumflei » Muscular braRCb Axillary Fig. 1433.—{Deaver.) AMPUTATION SHOULDER II59 down the arm immediately behind the anterior wall of the axilla along theinner and posterior border of the coraco-brachialis (Fig. 1434). Elevate thepectoralis major and under it divide the deep fascia so as to expose the coraco-brachialis. Pass the finger between the coraco-brachialis and the packet ofaxillary vessels and nerves. Separate the vessels (arter
. Manual of operative surgery. Fig. 1432.—(Wyeth.) Shoulder-joint amputation. Pins and rubber-tube tourniquet in position. Anterior circumfle Posterior circumflei » Muscular braRCb Axillary Fig. 1433.—{Deaver.) AMPUTATION SHOULDER II59 down the arm immediately behind the anterior wall of the axilla along theinner and posterior border of the coraco-brachialis (Fig. 1434). Elevate thepectoralis major and under it divide the deep fascia so as to expose the coraco-brachialis. Pass the finger between the coraco-brachialis and the packet ofaxillary vessels and nerves. Separate the vessels (artery and vein) from the nerves and divide them(the vessels) between ligatures. Pull the nerve trunks downwards and dividethem high up. Step 2.—At right angles to the original incision make a circular cut downto the bone all round the arm at the level of the insertion of the deltoid. Sepa-rate the soft parts from the bone up to its head. Disarticulate. Step 3.—Review the wound. Trim away redundant tissue.
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