A practical treatise on fractures and dislocations . nless the shoulder is very muchswollen: the elbow carried out from the body three or four inches, some-times a little backward, and the line of its axis directed toward the axilla;the outer surface of the arm presenting two planes inclined toward eachother, and meeting at the point of insertion of the deltoid muscle; thehead of the humerus felt in the axilla, particularly when the elbow iscarried away from the body ; numbness of the arm, accompanied gener-ally with pain, especially when any attempt is made to press the elbowagainst the side;
A practical treatise on fractures and dislocations . nless the shoulder is very muchswollen: the elbow carried out from the body three or four inches, some-times a little backward, and the line of its axis directed toward the axilla;the outer surface of the arm presenting two planes inclined toward eachother, and meeting at the point of insertion of the deltoid muscle; thehead of the humerus felt in the axilla, particularly when the elbow iscarried away from the body ; numbness of the arm, accompanied gener-ally with pain, especially when any attempt is made to press the elbowagainst the side; rigidity with inability to move the arm freely in anydirection, but especially inward ; allowing, however, of pretty free passivemotion, but not permitting the elbow to touch the body without great DISLOCATIONS OF THE SHOULDER. 567 pain, which pain is occasioned mostly by the pressure of the humerusupon the axillary plexus ; under no circumstances can the hand be placedupon the opposite shoulder while at the same moment the elbow touches Fig. Appearance of dislocation of the shoulder. (Subglenoid.) the thorax; the head of the patient, and sometimes the whole body, in-clined toward the injured arm ; the arm lengthened from half an inch toan inch; a chafing or friction sound is not unfrequently present, espe-cially if the bone has been some days dislocated. Mr. Lawrence mentions a case in which there was a distinct crepitus, yet therewas no fracture; Dr. Hays saw a similar case in Wills Hospital, Philadelphia,in a woman 60 years old, whose arm had been dislocated forward eight surgeons have related like examples, but it is probable that in all thesecases there has been an exposure of the bone at or near the edge of the glenoidfossa, by the partial detachment of its ligamentous margin, or some portion ofthe head has become divested of its cartilaginous covering. Decisive as these signs usually are of the true nature of the accident,cases will occur in which the
Size: 1520px × 1644px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjec, booksubjectfractures
