A text-book of first aid and emergency treatment . Fig. 97.—Diagram showing forward dislocation of the shoulder. Note thatthe head of the bone has slipped out of the socket. (Speed.) Patients with an unreduced dislocation finally recoversome use of the limb, the head of the bone forming an imper-fect joint in its new location; but the degree of motion islimited, and, at the best, only a fraction of the normalmovement of the joint. Special Dislocations.—Dislocation of the Spine.^—Disloca-tion of one vertebra upon the other may occur. It is usuallyassociated with injury to the bones and spinal c
A text-book of first aid and emergency treatment . Fig. 97.—Diagram showing forward dislocation of the shoulder. Note thatthe head of the bone has slipped out of the socket. (Speed.) Patients with an unreduced dislocation finally recoversome use of the limb, the head of the bone forming an imper-fect joint in its new location; but the degree of motion islimited, and, at the best, only a fraction of the normalmovement of the joint. Special Dislocations.—Dislocation of the Spine.^—Disloca-tion of one vertebra upon the other may occur. It is usuallyassociated with injury to the bones and spinal cord, and the 13S FRACTURES AND DISLOCATIONS symptoms and treatment are essentially the same as forfracture of the spine. Dislocation of the Clavicle.—The joint at either end of theclavicle may be dislocated. It may be possible to slip thedislocated end in place by drawinji; the shoulders directlyback\\anl, at the same time pressin<2; directly ui)on the. Fig. 98.—Anterior dislocation of the upper end of the left humerus.(Stimson.) projecting end of the bone. A VeliJean bandage or othersimilar bandage may be applied with a pad over the dislo-cated end of the bone. Dislocation of the Shoulder.—This is a common form ofdislocation. The head of the bone usually lies in front ofthe joint beneath the clavicle. The motion of the shoulder DISLOCATIONS 139 is limited and the patient is unable to place the hand on theopposite shoulder. To reduce the dislocation the patient is placed on his backon a cot or table, and an assistant standing on the oppositeside holds the patient about the chest close to the operator now grasps the injured wrist and pulls firmlyand steadily at right angles to the body. After pulling fora few minutes, in order to tire the muscles, the arm is slowlybrought down to the side, the steady pull being kept up inthe long axis of the arm. A second assistant may makepressure on the head of the bone.
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