A practical treatise on fractures and dislocations . lete by the traumatism. [Duckett,1 of Manchester, reports a case of ante-sternal dislocation whichoccurred while swimming.] Symptoms.—The head of the bone, unless the person is exceedinglyfat, or great swelling has supervened, can be distinctly felt and seen infront of the sternum ; the corresponding shoulder falls a little back ; thehead inclines also sometimes to the same side; the movements of the armare embarrassed, and accompanied almost always with an acute painat the point of dislocation. The clavicular portion of the sternocleido-mas
A practical treatise on fractures and dislocations . lete by the traumatism. [Duckett,1 of Manchester, reports a case of ante-sternal dislocation whichoccurred while swimming.] Symptoms.—The head of the bone, unless the person is exceedinglyfat, or great swelling has supervened, can be distinctly felt and seen infront of the sternum ; the corresponding shoulder falls a little back ; thehead inclines also sometimes to the same side; the movements of the armare embarrassed, and accompanied almost always with an acute painat the point of dislocation. The clavicular portion of the sternocleido-mastoid muscle presents an unusually sharp and projecting outline, anda careful measurement indicates, if the dislocation is complete, a sensibleapproach of the acromion process toward the centre of the sternum. Ifnow the surgeon places his knee against the spine, and draws the shoul-ders back, the projection of the clavicle in front usualby diminishes ordisappears; if he carries the shoulder up, it descends ; and if he depresses Fig. 345. Fig. M 41! * s -:F Dislocation of the sternal end forward. Appearance of a dislocated clavicle. the shoulder, it ascends. The simplicity and uniformity of the symptomswhich usually characterize this accident will generally prevent the possi-bility of a mistake. Pinel mentions the case of a man who, having presented himself at one of thehospitals of Paris, suffering under this dislocation, the surgeon-in-chief thoughtit a tumor of the bone, and advised the application of a plaster; and, on theother hand, a patient presented himself to Velpeau, who had been treated for adislocation, when the bone was only expanded by disease. I have myself alsoseen a fracture so near the sternal end of the bone as not to be easily distin-guished from a dislocation. 1 London Lancet, Oct. 6, 546 DISLOCATIONS OF THE CLAVICLE. Pathology.—In complete anterior dislocation of the clavicle, the cap-sular ligament suffers a complete disruption, and also t
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Keywords: ., bookcentury1800, bookdecade1890, booksubjec, booksubjectfractures
