A practical treatise on fractures and dislocations . scapes, the whole work of repairhas to be recommenced as from the beginning. To this end at least fouror six weeks are necessary, and sometimes the period must be lengthenedfar beyond these limits; so that it may often become a grave point ofinquiry whether the long confinement of the limb will not entail moreserious consequences than have ever been known to arise from leavingthe bone displaced. In no case seen by me has the function of the armbeen very seriously impaired by the displacement. Dislocations of the Sternal End of the Clavicle U
A practical treatise on fractures and dislocations . scapes, the whole work of repairhas to be recommenced as from the beginning. To this end at least fouror six weeks are necessary, and sometimes the period must be lengthenedfar beyond these limits; so that it may often become a grave point ofinquiry whether the long confinement of the limb will not entail moreserious consequences than have ever been known to arise from leavingthe bone displaced. In no case seen by me has the function of the armbeen very seriously impaired by the displacement. Dislocations of the Sternal End of the Clavicle Upward.—R. has furnished us with an account of one example of this disloca-tion as seen in the dissection. The extremity of the left clavicle restedupon the sternum, and had passed the median line until it touched thesterno-cleido-mastoid muscle of the right side. Posteriorly it rested uponthe sterno-hyoideus muscle and the front of the trachea. The anteriorand posterior ligaments of the joint, as well as the rhomboid ligaments, Fig. Dislocation of sternal end of clavicle upward. (R. W. Smith.) were torn. The inter-articular cartilage was detached from the sternumand the cartilage of the first rib, and had followed the clavicle. Malgaigne has collected four undoubted examples of this dislocation. mentions two cases seen by himself, one of which was a double disloca-tion. He refers also to a specimen in Guys Museum, dislocated upward Dr. Shaw, of Pittsburg, Pa., has reported a case in an adult caused 1 Smith, Dublin Journ. of Med. Sei., Dec. 1872. 2 Bryant, Practice of Surgery, p. 787, London, 1872. STERNO-CLAVICDLAR. 549 by a Vanvert has reported a case caused by a blow upon the side of thechest, which he was unable to The following very extraordinary casewas described by Dr. Rochester to the Buffalo Medical Association. I saw thecase several J. McA., aet. 44, while seated upon a load of wood, wascaught under the ba
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