. Atlas and epitome of traumatic . Traumatic Epiphyseal Separation at the Upper End of theHumerus.—Fig. 1.—Specimen of a juvenile shoulder-joint. Theconnection between the humeral epiphysis and the scapula is preservedby the capsule and ligaments and by the muscles that insert at thetuberosities. The diaphyseal segment is completely separated. Afew tags of periosteum cling to the epiphysis. The union betweenthe coracoid process and the scapula has not as yet become ossified. Fig. 2.—A young man with marked arrest of development of theright arm due to early traumatic lesion of the epiphyseal ca
. Atlas and epitome of traumatic . Traumatic Epiphyseal Separation at the Upper End of theHumerus.—Fig. 1.—Specimen of a juvenile shoulder-joint. Theconnection between the humeral epiphysis and the scapula is preservedby the capsule and ligaments and by the muscles that insert at thetuberosities. The diaphyseal segment is completely separated. Afew tags of periosteum cling to the epiphysis. The union betweenthe coracoid process and the scapula has not as yet become ossified. Fig. 2.—A young man with marked arrest of development of theright arm due to early traumatic lesion of the epiphyseal patient (Bertram, 1878) sustained an injury at the upper end ofthe humerus in early childhood. (Authors observation.) will be noticeable throughout life. Besides, if reductionhas been incomplete after this injury, the development ofthe epiphyseal cartilage is retarded, the humerus fails togrow and remains shorter than that of the sound side(Plate 34, Fig. 2). An appropriate extension dressing, and particularly a. Fig. 64.—Showing the same girl represented in figure 63, fromabove. We see the enlargement of the pectoral portion of the leftshoulder region, due to the dislocation of the diaphysis. good axillary pad (Fig. 56), may be required to keep theparts in good position. In the new-born, epiphyseal separations sometimes re-sult from injuries sustained during delivery. The epiphy-
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