. A practical treatise on fractures and dislocations. p. 21. 4 Panas: Diet, de Med. et Chir. pratiques, art. Epaule, p. 462. 5 Leroy : Bull, de la Soc. Anatomique, 1844, p. 102. 8 Bouygues : Ibid., 1888, p. 581. DOWNWARD DISLOCATIONS OF TIIF SHOULDER. >H1 and in front of the glenoid fossa and beneath the untorn subscapulars,the anatomical neck resting on the axillary border of the scapula andthe lower part of the fibro-cartilaginous rim ; the upper portion of thegreater tuberosity was broken off. In ;i case reported by Jossel of subglenoid dislocation caused by mfall from the second story o
. A practical treatise on fractures and dislocations. p. 21. 4 Panas: Diet, de Med. et Chir. pratiques, art. Epaule, p. 462. 5 Leroy : Bull, de la Soc. Anatomique, 1844, p. 102. 8 Bouygues : Ibid., 1888, p. 581. DOWNWARD DISLOCATIONS OF TIIF SHOULDER. >H1 and in front of the glenoid fossa and beneath the untorn subscapulars,the anatomical neck resting on the axillary border of the scapula andthe lower part of the fibro-cartilaginous rim ; the upper portion of thegreater tuberosity was broken off. In ;i case reported by Jossel of subglenoid dislocation caused by mfall from the second story of a house, in which death followed on thesecond day in consequence of an associated fracture of the skull, thefollowing conditions were found: The subscapular artery was entirelytorn across. The head of the humerus lay between the partly torn sub-scapulars muscle and the triceps upon the triangular surface of thelower border of the scapula directly below the glenoid fossa. Thecapsule was entirely torn from the humerus, the subscapulars was Fig. Subglenoid dislocation. (From a photograph.) pushed upward, the edge of the glenoid fossa was a little broken at itswidest part, and the upper and middle facets of the greater tuberositywere broken off, the line of fracture running into and opening thebicipital groove. In Sedillots case, quoted by Malgaigne as of this kind, the condi-tions were quite exceptional; abduction was so marked that the armwas held almost horizontal, the head of the humerus was situated halfan inch below the glenoid fossa, resting against the scapula, but alsoengaged between the latissimus dorsi and teies major in front and thetriceps behind. Apparently the failure of the head to rise as usual to the level which 1 Jossel: Deutsche Zeitschrift fur Chirurgie, 1874, vol. iv. p. 124. 582 DISLOCA TIONS. would make the dislocation subcoracoid is due to the resistance of theuntorn portion of the capsule on the inner side; and the greater abduc-tion of the limb is
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