. A treatise on dislocations and fractures of the joints. distinctly felt in the axilla; the skin had beenabraded during the attempts at reduction, and the woman apparentlydied from the violence used in the extension. Upon exposing themuscles, the pectoralis major was found to have been slightly lacerated,and blood was effused amongst its fibres; the latissimus dorsi andand teres major were not injured ; the supra-spinatus was lacerated inseveral places ; the infra-spinatus and teres minor were torn, but notto the same extent as the former muscle. Some of the fibres of thedeltoid muscle and a
. A treatise on dislocations and fractures of the joints. distinctly felt in the axilla; the skin had beenabraded during the attempts at reduction, and the woman apparentlydied from the violence used in the extension. Upon exposing themuscles, the pectoralis major was found to have been slightly lacerated,and blood was effused amongst its fibres; the latissimus dorsi andand teres major were not injured ; the supra-spinatus was lacerated inseveral places ; the infra-spinatus and teres minor were torn, but notto the same extent as the former muscle. Some of the fibres of thedeltoid muscle and a few of those of the coraco-brachialis had beentorn ; but none of the muscles had suffered so much injury as thesupra-spinatus. The biceps was not injured. Having ascertained the injury which the muscles had sustained inthe extension, and, in some degree, the resistance which they opposedto it, I proceeded to examine the joint. The capsular ligament had given way in the axilla, between theteres minor and subscapularis muscles; the tendon of the subscapu-. lars was torn through at its insertion into the lesser tubercle of theos humeri, and the head of the bone rested upon the axillary plexus ofnerves and the artery. Having determined these points by dissection,I next endeavored to reduce the bone, but finding the resistance tooo-reat to be overcome by my own efforts, I became very anxious toascertain its origin. I therefore divided one muscle after another,cutting through the coraco-brachialis, teres major and minor, andinfra-spinatus muscles; yet still the opposition to my efforts remained,and with but little apparent change. I then conceived that the deltoid41 322 DISLOCATION OF THE SHOULDER must be the chief cause of my failure, and by elevating the arm, Irelaxed this muscle ; but still could not reduce the dislocation. I nextdivided the deltoid muscle, and then found the supra-spinatus musclemy great opponent, until I drew the arm directly upwards, when thehead of the bone gl
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Keywords: ., bookcentury1800, bookdecade1840, booksubjectfractur, bookyear1844
