Archive image from page 641 of The cyclopædia of anatomy and. The cyclopædia of anatomy and physiology cyclopdiaofana0401todd Year: 1847 620 ABNORMAL CONDITIONS OF THE SHOULDER JOINT. Case. — A woman, named Judith Doyle, died upon the 8th of February, 1839 : she had been a patient for fifteen years in the lunatic department of the House of Industry; was subject to severe epileptic convulsions, which were the cause of her death. While making the examination of the brain, the unusual ap- oearance which the left shoulder joint presented accidentally attracted the author's attention. The head of
Archive image from page 641 of The cyclopædia of anatomy and. The cyclopædia of anatomy and physiology cyclopdiaofana0401todd Year: 1847 620 ABNORMAL CONDITIONS OF THE SHOULDER JOINT. Case. — A woman, named Judith Doyle, died upon the 8th of February, 1839 : she had been a patient for fifteen years in the lunatic department of the House of Industry; was subject to severe epileptic convulsions, which were the cause of her death. While making the examination of the brain, the unusual ap- oearance which the left shoulder joint presented accidentally attracted the author's attention. The head of the humerus appeared to have been dislocated on the dorsum of the scapula. Finding that the opposite shoulder presented precisely similar appearances, he had no hesitation in expressing his opinion that the case was one of double congenital luxation of the head of the humerus backwards. The two shoulders resembled each other so perfectly, not only in their external conform- ation, but likewise in their anatomical cha- racters, that the description of one will be sufficient. The coracoid process, owing to the removal of the head of the humerus from its vicinity, formed a most remarkable projection, and the subject being emaciated, the coraco-brachialis Fig. 443. Congenital malformation of the left hwnerus. and the short head of the biceps could be seen passing very obliquely downwards and out- wards, and the anterior margin of the coraco- acromial ligament stood out in strong relief. The acromion process was unusually promi- nent, although it did not project as much as in any of the accidental dislocations of the shoulder. The glenoid cavity could not be felt, although the head of the humerus was so far removed from its natural position. The shoulder appeared higher than natural, and was flattened anteriorly; but posteriorly a round, solid tumour plainly indicated the situation of the head of the bone placed on the dorsal surface of the scapula, immediate}' below the spin
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