A practical treatise on fractures and dislocations . he vacated glenoid cavity is covered by the untorn anterior halfof the capsular ligament, which is stretched across the articular surface, holdingthe head snugly against the posterior edge of the fossa, and by its inferior fibrescausing the advanced position of the lower end of the humerus, which is socharacteristic of the accident. Internal rotation relaxes this untorn portion ofthe ligament, as does also a still more advanced position of the elbow with thehumerus elevated to a horizontal position. For a reduction of this luxation theshould
A practical treatise on fractures and dislocations . he vacated glenoid cavity is covered by the untorn anterior halfof the capsular ligament, which is stretched across the articular surface, holdingthe head snugly against the posterior edge of the fossa, and by its inferior fibrescausing the advanced position of the lower end of the humerus, which is socharacteristic of the accident. Internal rotation relaxes this untorn portion ofthe ligament, as does also a still more advanced position of the elbow with thehumerus elevated to a horizontal position. For a reduction of this luxation theshoulder should be properly fixed by an assistant, while the surgeon seizes the 606 DISLOCATIONS OF THE SHOULDER, arm by the elbow and forearm, raises it to a horizontal position, carries it to thefront, rotates inwardly, and draws it into After the reduction, a compress should be placed against the head ofthe bone, and underneath the spine of the scapula, and this should besecured in its place by several turns of a roller. The forearm ought also. Showing untorn anterior half of capsule in dorsal dislocation of the humerus. (Gunn.) to be placed in a sling, with the elbow thrown a little back of the centreof the body, so as to direct the head of the humerus forward. Dislocations of the Humerus Upward.—The existence of this form ofdislocation, unaccompanied with a fracture of the coracoid or acromionprocesses, or of both, has been denied by Boyer, Sedillot, and most othersurgical writers. A certain number of facts and observations, however,tend to establish its possibility or its actual occurrence. Malgaigne,2 who was the first to admit of its possibility, says : A man, set. 68,was seated upon a wagon loaded with fagots, when the wagon was was thrown a great distance, and struck upon the point of the shoulder, withthe arm against the side of the body. The man immediately experienced asharp pain, and it was impossible to move the arm. A bone-setter made violenttr
Size: 1535px × 1627px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjec, booksubjectfractures
