The homeopathic practice of surgery : together with operative surgery . ity, may be pushed or pulled downwards, forwards, or backwards:— In the first variety, the head of the bone is found in the axilla,or resting under the lower side of the inferior costa of the scap-ula. In the second, it is thrown forward upon the pectoral mus-cles, below the middle of the clavicle, between the coracoid pro-cess and the sternum. In the third case, the head is thrown upto the higher and back part of the inferior costa, or dorsum of thescapula, where the large protuberance can be distinctly felt andseen. The
The homeopathic practice of surgery : together with operative surgery . ity, may be pushed or pulled downwards, forwards, or backwards:— In the first variety, the head of the bone is found in the axilla,or resting under the lower side of the inferior costa of the scap-ula. In the second, it is thrown forward upon the pectoral mus-cles, below the middle of the clavicle, between the coracoid pro-cess and the sternum. In the third case, the head is thrown upto the higher and back part of the inferior costa, or dorsum of thescapula, where the large protuberance can be distinctly felt andseen. The fourth or the partial dislocation upwards, is al-ways attended with a rupture of the capsular ligaments, the headof the bone resting against the outer side of the coracoid processof the scapula. It is difficult to conceive how this should everhappen without a fracture of the acromoin process. DOWNWARD LUXATION — INTO THE AXILLA. Among the symptoms, in this case, — besides the obvious oneof the large hard tumor-like protuberance, which can be distinctly Fig. 48 HUMERUS DOWNWARDS — REPLACEMENT. felt in the arm-pit when the arm is raised,— there is a correspond-ing hollow below the acromion process, in consequence of the pass-ing of the head of the humerus out of the glenoid cavity — (seeFig. 25). The natural form of the shoulder is changed, the mus-cles being flattened, and the arm seemingly elongated. The elbowcannot without great pain be brought to the patients side, in con-sequence of pressure of the head of the bone upon the axillarynerves; the patient is inclined to separate his arm from the bodyand support it with the other hand. When some time has elapsed, and there is inflammation withmuch swelling, the bone cannot be readily felt; and to bring itshead low enough down for this purpose, the arm should be raisedas high as possible. The patient himself can move his arm butlittle; and even when others raise it for him, the movement is ac-complished with diffi
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Keywords: ., bookcentury1800, bookdec, booksubjectsurgicalproceduresoperative
