A practical treatise on fractures and dislocations . ith the hand reaching over the sound shoulder, or it should be placed atright angles with the body. The absolute immobility required by the posturetreatment must always limit its application, and render its general employmentimpossible. Dr. J. A. Packard, of Philadelphia, regards the scapula, also, asthe bone upon which the restoration of the clavicle chiefly depends; and hefinds in the serratus magnus the especial obstacle to this In order to carry the shoulders back, a figure-of-8 has been preferredby some and condemned by ot
A practical treatise on fractures and dislocations . ith the hand reaching over the sound shoulder, or it should be placed atright angles with the body. The absolute immobility required by the posturetreatment must always limit its application, and render its general employmentimpossible. Dr. J. A. Packard, of Philadelphia, regards the scapula, also, asthe bone upon which the restoration of the clavicle chiefly depends; and hefinds in the serratus magnus the especial obstacle to this In order to carry the shoulders back, a figure-of-8 has been preferredby some and condemned by others. To this apparatus many surgeonsadd some form of back-splint, extending from acromion to acromion,against which the shoulders may be properly secured. 1 Gross, System of Surgery, vol. i. p. 954, 1872. 2 W. Roser, Handbuch der Anatomischen Chirurgie, 6 Aufl. Tubingen, 1872. 3 Bryant, Practice of Surgery, London, 1872, p. 927.* N. Y. Journ of Med., vol. ii. p. 226. 5 Packard, New York Journ. of Med., 1867. FRACTURES OF THE CLAVICLE. 185 Fig. Parker says that splints of this kind, with a figure-of-8 bandage, are betterthan all the apparatus ever invented, whilst Mr. South gives his testimony inrelation to all dressings of this sort as follows: I do not like any of the appa-ratus in which the shoulders are drawn back by bandages, as these invariablyannoy the patient, often cause excoriation,and are never kept long in place, the per-son continually wriggling them off to relievehimself of the pressure. Again, others bring the elbow a littleforward, and then lift the shoulder up-ward and backward; or carry the elbowstill farther forward, so as to lay thehand across the opposite carries the hand and forearmbehind the patient, and then proceedsto lift the shoulder to its place. Moore,also, recommends that the elbow shallbe carried back. Thus Desault, Fox, and Wattman accom-plish the indication to carry the shoulderback, by lifting the humerus, with theelbow in
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