Irish journal of medical science . e method of operating, andwhether that might not be modified with advantage. The trouble-some part of the treatment was the difficulty of obviating theconstant tendency of the head of the humerus to be protruded atthe upper part of the wound. Whilst the large posterior lines ofincision corresponding to the body of the scapula healed almostentirely by the first intention, that part of the wound whichcorresponded to the outer end of the clavicle and acromion processwas prevented from healing, and the cure rendered tedious by thepressure of the head of the humer
Irish journal of medical science . e method of operating, andwhether that might not be modified with advantage. The trouble-some part of the treatment was the difficulty of obviating theconstant tendency of the head of the humerus to be protruded atthe upper part of the wound. Whilst the large posterior lines ofincision corresponding to the body of the scapula healed almostentirely by the first intention, that part of the wound whichcorresponded to the outer end of the clavicle and acromion processwas prevented from healing, and the cure rendered tedious by thepressure of the head of the humerus, and also to some extent bythe irritation caused by the edges of the section of the clavicle, andwhen this part of the wound did heal, the head of the humerus wasadherent to the cicatrix (vide Plate XIX.) In the special memoir of a successful case of excision of thescapula published by the late Professor Syme no such difficulty ismentioned, but the reason is obvious. In Mr. Symes case the Plate XI X., Vol | [No. 18, p.
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