Modern surgery, general and operative . anatomical neck of the humerus deformityis slight; the head of the humerus is found in place, does not move whenthe shaft is rotated, and is not in line with the axis of the bone. Crepitusexists in the fracture if impaction is absent. In paralysis of the deltoid mus-cle there is distinct flattening, but the bone is felt in place and there is norigidity. The x-rays are invaluable in diagnosis. Treatment of Shoulder-joint Dislocation.—Reduction by manipulation is usu-ally readily accomplished in a recent case of shoulder-joint dislocation. If asimple trial
Modern surgery, general and operative . anatomical neck of the humerus deformityis slight; the head of the humerus is found in place, does not move whenthe shaft is rotated, and is not in line with the axis of the bone. Crepitusexists in the fracture if impaction is absent. In paralysis of the deltoid mus-cle there is distinct flattening, but the bone is felt in place and there is norigidity. The x-rays are invaluable in diagnosis. Treatment of Shoulder-joint Dislocation.—Reduction by manipulation is usu-ally readily accomplished in a recent case of shoulder-joint dislocation. If asimple trial without ether fails, an anesthetic should be administered. Etheris given, but not chloroform, for chloroform seems to be particularly dan-gerous to life when given to enable the surgeon to reduce a dislocation ofthe shoulder. Forward dislocations (subcoracoid, subclavicular, and axillary)are reduced by Kochers method (Fig. 402). This method w^as introduced byKocher in 1870 (Sammlung klin. Vortrage, No. 83). Reduction by this ,^^Hls.
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
