. Atlas and epitome of traumatic . Fig. 62.—Extension ap-paratus for fracture of thehumerus, to be worn duringthe day (compare Fig. 61). FRACTURES OF THE UPPER EXTREMITY. 163 cases in winch reduction was thus effected and the frag-ments kept permanently in position by inserting a longsteel Fig. 63.—Traumatic epiphyseal separation at the upper end ofthe humerus, with typical displacement of the diaphyseal fragmentforward and inward. We see that the axis of the arm is directedtoward a point considerably in advance of the prominence of theacromion. The patient, fifteen years of age, had
. Atlas and epitome of traumatic . Fig. 62.—Extension ap-paratus for fracture of thehumerus, to be worn duringthe day (compare Fig. 61). FRACTURES OF THE UPPER EXTREMITY. 163 cases in winch reduction was thus effected and the frag-ments kept permanently in position by inserting a longsteel Fig. 63.—Traumatic epiphyseal separation at the upper end ofthe humerus, with typical displacement of the diaphyseal fragmentforward and inward. We see that the axis of the arm is directedtoward a point considerably in advance of the prominence of theacromion. The patient, fifteen years of age, had fallen from a highstack of straw directly on the left shoulder, and was admitted to theclinic two weeks after the injury. Through an incision in front of theshoulder the completely dislocated diaphyseal extremity was replacedand fixed by means of a steel needle. Recovery with good function. Accurate reduction is necessary to save the youthfulpatient from a deformity and loss of function which 164 FRACTURES AND DISLOCATIONS. PLATE 34. 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 thetubero
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