. The principles and practice of surgery. her of theother two forms. The patient must be laid on his back, with a firmpillow between the shoulders, and the arm should be slightly elevatedand confined to the side of the body. The outer or acromial end of the clavicle is not unfrequently dislo-cated upwards, and more rarely it isdriven fairly over the acromion process,constituting a dislocation upwards andoutwards. This dislocation is easily reduced, butthe clavicle is with difficulty retained inplace. The treatment consists in the ap-plication of a force over the top and outerend of the clavicl
. The principles and practice of surgery. her of theother two forms. The patient must be laid on his back, with a firmpillow between the shoulders, and the arm should be slightly elevatedand confined to the side of the body. The outer or acromial end of the clavicle is not unfrequently dislo-cated upwards, and more rarely it isdriven fairly over the acromion process,constituting a dislocation upwards andoutwards. This dislocation is easily reduced, butthe clavicle is with difficulty retained inplace. The treatment consists in the ap-plication of a force over the top and outerend of the clavicle, with a counter-forceapplied below the elbow so as to elevatethe humerus and scapula; while the armand forearm are confined by a sling andbandage against the side and front of thebody. These indications will be fulfilledby an ordinary sling, a bandage passedover the top of the clavicle and under theelbow, and a roller enclosing the arm andbody. Mayor employed only a sling constructed in the manner representedm the accompanying Dislocation of the Acromial End of theClavicle upwards and outwards. 318 DISLOCATIONS OF THE HUMERUS. ^ Petits tourniquet can be employed very conveniently for making thedirect and counter-pressure, as it enables the surgeon to regulate thepressure with ease and accuracy. Fig. 120. Fig. 121.
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