Modern surgery, general and operative . ecchymosis, slight irregularity of the shoulder (which irregularity is soonhidden by tumefaction), and inability to actively abduct the arm. Deformity,as a rule, is slight or is absent, because the capsule is rarely entirely torn fromthe lower fragment. If deformity exists, it is due to the muscles inserted onthe bicipital groove and to the coracobrachialis, which pull the lower fragmentinward and forward. Treves says that a tear of the reflected fibers of the cap-sule leads to subsequent necrosis of bone because this joint has no ligamentumteres. In mii
Modern surgery, general and operative . ecchymosis, slight irregularity of the shoulder (which irregularity is soonhidden by tumefaction), and inability to actively abduct the arm. Deformity,as a rule, is slight or is absent, because the capsule is rarely entirely torn fromthe lower fragment. If deformity exists, it is due to the muscles inserted onthe bicipital groove and to the coracobrachialis, which pull the lower fragmentinward and forward. Treves says that a tear of the reflected fibers of the cap-sule leads to subsequent necrosis of bone because this joint has no ligamentumteres. In miimpacted cases there is crepitus, and mobility of the shaft canbe detected near the head of the bone. In some cases impaction occurs, theupper fragment impacting into the lower. In this condition there are veryslight shortening and trivial shoulder-flattening, no crepitus unless the tuber-osity is broken off, no mobility, and, as Erichsen says, the head of the bone,while it can be felt through the axilla, is not in the axis of the
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
