Operative surgery . patient upon the back close to the edgeof the table;, with the shoulders raised. Make an incision about four inchesin length downward from the anterior border of the acromion process,close to its articulation with the clavicle, in the line of the bicipital groove(Fig. 392, &). The bone at this region is quite superflcial. Liberate thelong head of the biceps tendon from the groove by carrying the point ofthe knife upward in the groove at the outer side through the capsule tothe acromion and raise the tendon out of the groove (Fig. 393); rotate thearm outward and divide the s


Operative surgery . patient upon the back close to the edgeof the table;, with the shoulders raised. Make an incision about four inchesin length downward from the anterior border of the acromion process,close to its articulation with the clavicle, in the line of the bicipital groove(Fig. 392, &). The bone at this region is quite superflcial. Liberate thelong head of the biceps tendon from the groove by carrying the point ofthe knife upward in the groove at the outer side through the capsule tothe acromion and raise the tendon out of the groove (Fig. 393); rotate thearm outward and divide the subscapularis tendon and inner portion of thecapsule; then rotate the arm inward and cut the external rotators at theirinsertions, also the posterior portion of the capsule (Fig. 394) ; force thehead of the bone through the opening in the soft parts, seize it with astrong pair of bone-holding forceps, divide the inferior portion of the cap-sule, and remove the head of the bone with a chain saw, Gigli-Haertel, or.


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Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900