Annual and analytical cyclopaedia of practical medicine . eclaims is successful in a large number ofcases. The surgeon, standing by thepatients side, holds the arm abductedand the elbow flexed, and, while distract-ing the patients attention, gently oscil-lates the arm. As the deltoid is seen torelax, a sharp blow is delivered into thefold of the elbow and the arm rotatedsharply outward, thus rolling the boneinto place. If judicious attempts at reduction by this particular dislocation is, as a rule,an unusual amount of laceration of thecapsule and subscapularis, which allowsthe head of the bone
Annual and analytical cyclopaedia of practical medicine . eclaims is successful in a large number ofcases. The surgeon, standing by thepatients side, holds the arm abductedand the elbow flexed, and, while distract-ing the patients attention, gently oscil-lates the arm. As the deltoid is seen torelax, a sharp blow is delivered into thefold of the elbow and the arm rotatedsharply outward, thus rolling the boneinto place. If judicious attempts at reduction by this particular dislocation is, as a rule,an unusual amount of laceration of thecapsule and subscapularis, which allowsthe head of the bone to slip higher intothe axilla. Reduction by outward trac-tion is easy unless the subscapularis ora torn portion of the capsule such cases operation is the only re-course. In subclavicular dislocations the sameforces acting more energetically force thehead of the bone up under the clavicle. 14 DISLOCATIONS. SHOULDER. TREATMENT. Downward dislocations include allcases in which the head of the bone liesbelow the glenoid fossa. In snbtricipital. Fig. 7.—Kochers method of reduction bymanipulation. First movement, outward rota-tion. (Mwi, American Text-hook of Sur-gery.) dislocation, of which one case is recorded,the head of the humerus was displacedsecondarily backward and upward be-hind the long head of the triceps.
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