The surgeon's handbook on the treatment of wounded in war : a prize essay . Excision of the shoulder. With IiANOENBECKS anterior vertical incision. 1. The patient lies upon hisback, with the shoulder raisedupon a pillow; the arm is held,so that the external condyle ofthe humerus is directed forwards. 2. An incision, beginningat the anterior border of theacromion, quite close to its arti-culation with the clavicle, andrunning for 6 —10cm verticallydownwards, divides the deltoidmuscle and reaches the capsuleof the joint and the periosteum(fig. 462). 3. The muscle is retractedon both sides of the
The surgeon's handbook on the treatment of wounded in war : a prize essay . Excision of the shoulder. With IiANOENBECKS anterior vertical incision. 1. The patient lies upon hisback, with the shoulder raisedupon a pillow; the arm is held,so that the external condyle ofthe humerus is directed forwards. 2. An incision, beginningat the anterior border of theacromion, quite close to its arti-culation with the clavicle, andrunning for 6 —10cm verticallydownwards, divides the deltoidmuscle and reaches the capsuleof the joint and the periosteum(fig. 462). 3. The muscle is retractedon both sides of the incision: thetendon of the long head of thebiceps is seen lying within itssheath (fig. 463). 4. An incision along the outerside of the tendon opens itssheath; the knife is directed up-wards with the back of the bladein the bicipital groove, and divides 257 Fig. The tendon of the long head of thebiceps. the whole length of the sheath to-gether with the capsular ligament upto the acromion. 5. The tendon of the biceps is liftedout of its groove, and drawn outwardswith the blunt retractor. 6. While the assistant rotates thearm outwards, a curved incision, witha strong knife placed at right anglesupon the bone, is carried round fromthe opening in the joint over thelesser tuberosity, dividing the capsu-lar ligament and subscapularis muscle(fig. 464). Fig. 464. Fig. 465.
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Keywords: ., book, bookcentury1800, booksubjectwoundsandinjuries, bookyear1884
