A practical treatise on fractures and dislocations . vol. xix. p. 386, Feb. 1837. Dorseys Elements ofSurgery, vol. i. p. 214. Philadelphia, 1813. 2 Smiths Med. and Surg. Memoirs, Baltimore, 1831, p. 337; also Amer. Journ. , July, 1861; also Amer. Med. Times, Nov. 9, 1861; paper by Stephen Rogers, 576 DISLOCATIONS OF THE SHOULDER. proceeds to give what seems to him the most effectual mode of rendering thescapula immovable, namely, to make the counter-extension from the oppositewrist. By this method the trapezii are provoked to contraction, and the scapulaof the injured side is draw
A practical treatise on fractures and dislocations . vol. xix. p. 386, Feb. 1837. Dorseys Elements ofSurgery, vol. i. p. 214. Philadelphia, 1813. 2 Smiths Med. and Surg. Memoirs, Baltimore, 1831, p. 337; also Amer. Journ. , July, 1861; also Amer. Med. Times, Nov. 9, 1861; paper by Stephen Rogers, 576 DISLOCATIONS OF THE SHOULDER. proceeds to give what seems to him the most effectual mode of rendering thescapula immovable, namely, to make the counter-extension from the oppositewrist. By this method the trapezii are provoked to contraction, and the scapulaof the injured side is drawn firmly toward the spine and the opposite illustration of the value of this procedure he relates the case of a gentlemanwho had suffered a dislocation of his left shoulder, and upon whom an unsuccess-ful attempt at reduction had already been made by a respectable surgeon. , being called, proceeded as follows: Two gentleman made counter-exten-sion from the opposite wrist, while Dr. Smith made extension from the wrist of Fig. N. R. Smiths method. the injured side, at first pulling it downward, but gradually raising it to the hori-zontal direction, and then gently depressing the wrist. On the effort beingsteadily continued for two or three minutes, the bone was observed to slip easilyinto its place. But no position places the scapula so completely under our control asthat in which the arm is carried almost directly upward, and the foot isplaced upon the top of the scapula. By this method we may succeedgenerally when every other expedient has failed; but it probably in-creases the danger of lacerating the axillary artery and vein: and evenwhen employed in recent cases, it must sometimes do serious injury tothe muscles about the joint (Fig. 361). In Listers case of rupture of the axillary artery, and in Agnews case ofrupture of the axillary vein, the accidents occurred when the arm wasdrawnupward. DISLOCATIONS OF THE SHOULDER. 577 La Mothe was the first to
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