Modern surgery, general and operative . wire it. or resect the displaced head. Upward dislocation of the sternal end of the clavicle is very rare. Thecause is indirect force, which carries the shoulder downward, inward, andbackward (Smith). Symptoms and Treatment of Upivard Dislocation of the Sternal End of theClavicle.—The chief symptom is impaired function of the arm; the shoulderpasses do\\-nward and inward, the cla\icular axis is altered, and the displacedhead is felt. Dyspnea may or may not exist. To treat this dislocation, put apad in the axilla and press the elbow to the side (in order
Modern surgery, general and operative . wire it. or resect the displaced head. Upward dislocation of the sternal end of the clavicle is very rare. Thecause is indirect force, which carries the shoulder downward, inward, andbackward (Smith). Symptoms and Treatment of Upivard Dislocation of the Sternal End of theClavicle.—The chief symptom is impaired function of the arm; the shoulderpasses do\\-nward and inward, the cla\icular axis is altered, and the displacedhead is felt. Dyspnea may or may not exist. To treat this dislocation, put apad in the axilla and press the elbow to the side (in order to throw the boneoutward), and try to push the head into place. Apply a Desault bandage(Fig. 836) and place a firm pad over the sternoclavicular joint. The deformityis apt to recur, but a useful limb \\\\\ nevertheless be obtained. The bestmethod of treatment is to wire the bones in place. Dislocation of the acromial end of the clavicle is almost always upward,but it may be below the acromion. The cause is \iolent force, which, if so. Fig. 3g6.—^Dislocation upward of acromial end of clavicle. appKed to the scapula as to drive the shoulder forward, may produce a dis-location upward. A dislocation downward is due to blows upon the uppersurface of the outer end of the clavicle. Symptoms and Treatment.—In dislocation of the acromial end of thecla^icle upward there are noted: prominence of the clavicle upon the top ofthe acromion; impaired function of the arm (it cannot be lifted over the head);the shoulder falls dowTiward and passes inward; there is apparent lengtheningof the arm; the head is bent toward the injured side, and the clavicular originof the trapezius is strongly outlined (Pick). In dislocation dou)iward boththe acromion and the coracoid are very prominent, the clavicular axis isaltered, and there is depression over the sternoclavicular jomt. The surgeonusually endeavors to reduce a dislocation upward by placmg the patientsupine on a hard table, pulling the should
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
