A treatise on orthopedic surgery . thecapsule. When this has beenaccomplished, there is a distinctdepression behind, and the headof the humerus j)rojects in front,at a point below its proper posi-tion. One then attempts to over-come the abduction and to forcethe head upward by changing thegrasp on the scapula and usingthe thumb in the axilla as a ful-crum. When the arm can becarried across the chest to thenormal degree of adduction, thefinal, and often most difiicult,part of the process, namely, tostretch the tissues sufficiently topermit the proper degree of out-ward rotation, is undertaken.
A treatise on orthopedic surgery . thecapsule. When this has beenaccomplished, there is a distinctdepression behind, and the headof the humerus j)rojects in front,at a point below its proper posi-tion. One then attempts to over-come the abduction and to forcethe head upward by changing thegrasp on the scapula and usingthe thumb in the axilla as a ful-crum. When the arm can becarried across the chest to thenormal degree of adduction, thefinal, and often most difiicult,part of the process, namely, tostretch the tissues sufficiently topermit the proper degree of out-ward rotation, is undertaken. This is best accomplished byflexing the forearm and using this to exert leverage on thehumerus, care being taken, of course, to avoid the danger offracture. When the head of the bone has been replaced, it willbe noted that the tension on the anterior tissues causes flexioniof the forearm; this must be overcome in the same manner,,and, finally, the limitation to complete supination. The ex- ^ Whitman, Annals of Surgery, July, Typical subluxation at the;shoulder caused by injury at patient was treated success-fully by the method described. 502 OBTEOPEDIC SUBGEBY. tremity is then fixed in the over-corrected attitude by meansof a plaster support which includes the thorax. That is, thearm is drawn backward so that the head of the humerus ismade prominent anteriorly, the forearm is flexed and turnedoutward to the frontal plane, while the hand is placed in ex-treme supination, the upper arm lying against the lateral thoracic wall. Fig. 332.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
