The treatment of fractures . Fig. 140.—Examination of shoulder. Movements of the shoulder. Normal maximum abduc-tion. Notice method of grasping head of humerus. ^4 FRACTURES OF THE HUMERUS one hand pressed under the spinous and acromial other hand should grasp the flexed elbow firmly, in orderto make the necessary movements at the shoulder-joint (seeFig. 139). If the head of the humerus is intact and in its normalplace, it will be felt to move with the shaft of the humerus, asupon the uninjured side. All the normal movements of theshoulder-joint should be made passively and activ
The treatment of fractures . Fig. 140.—Examination of shoulder. Movements of the shoulder. Normal maximum abduc-tion. Notice method of grasping head of humerus. ^4 FRACTURES OF THE HUMERUS one hand pressed under the spinous and acromial other hand should grasp the flexed elbow firmly, in orderto make the necessary movements at the shoulder-joint (seeFig. 139). If the head of the humerus is intact and in its normalplace, it will be felt to move with the shaft of the humerus, asupon the uninjured side. All the normal movements of theshoulder-joint should be made passively and actively—namely,the movements of abduction, adduction, forward and backward. Fig. 141.—Examination of shoulder. Maximum adduction. The bend of the elbow, whenthe forearm is Hexed to a right angle, comes to the median line of trunk. suing, and rotation (see Figs. 140, 141, 142). Those move-ments which are painful and limited should be carefully the normal individual standard of movement is known, asdetermined by examination of the well shoulder, there can be nodefinite interpretation of the conditions existing in the injuredshoulder. The condition of the circulation and the presence ofparesis or paralysis in the limb should be observed. The shaft EXAMINATION OF THE SHOULDER 12 of the humerus should be measured : the measurement best takenis the distance between the edge of the acromial process and theexternal condyle of the humerus. The patient should be seatedwith the elbow at the side if possible, and flexed to a right angle(see Fig. 143). The forearm should rest on the thigh of thesame side. The direction of the long axis of the humerusshould
Size: 1214px × 2059px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
