. A practical treatise on fractures and dislocations . n a majority of cases. Mayor employed a dressing con-structed with a strap to buckle over the dislocated clavicle (Fig. 219);but Nelaton has seen this appa-ratus fail, also, when applied inhis own wards. The experience of Dr. Foltsat the time of his report did notextend beyond three cases, andthe apparatus had been com-pletely successful in only two ofthe three. Our own experienceis sufficient to show that it willbe found occasionally, but byno means constantly, have already mentioned onecase in which we succeeded per-fectly
. A practical treatise on fractures and dislocations . n a majority of cases. Mayor employed a dressing con-structed with a strap to buckle over the dislocated clavicle (Fig. 219);but Nelaton has seen this appa-ratus fail, also, when applied inhis own wards. The experience of Dr. Foltsat the time of his report did notextend beyond three cases, andthe apparatus had been com-pletely successful in only two ofthe three. Our own experienceis sufficient to show that it willbe found occasionally, but byno means constantly, have already mentioned onecase in which we succeeded per-fectly by this mode, but in seve-ral others which seemed equallyfavorable we have met with par-tial or complete failures. The practical difficulties are,the sensibility and consequentinability sometimes of the pointof the elbow to bear the requi-site pressure, and the even greatersensibility of the skin over thetop of the clavicle; the tendency of the bandage to slide off from theshoulder and also to become displaced from the end of the elbow; the Fig. Mayors apparatus for dislocated clavicle. (Trian-gle cubito-bis-scapulaire.) 34 1 Folts, Bost. Med. and Surg. Journ., vol. liii. p. 259. 530 DISLOCATIONS OF THE CLAVICLE. gradual relaxation of the bandages, which, when existing even in themost inconsiderable degree, is sufficient sometimes to allow the boneto slip out from its shallow socket; the impossibility of fixing thescapula, upon whose immobility as well as upon the immobility of theclavicle the retention depends; and, finally, the great length of timerequisite to unite firmly the ligaments and the capsule, if indeed theyever again become actually united. The band can be prevented in some measure from sliding off fromthe clavicle by a counter-band attached to a collar upon the oppositeshoulder, but not without causing some pain and giving rise to exco-riations generally in the opposite axilla; and in a degree all the otherdifficulties may be met by patience and ingenuity, b
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