A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . good useof the limb is to be expected, even if some deformity persists. Inopen fractures suppuration may occur from bacterial infection and pusburrow under the scapula. This should be averted by furnishingfacilities for drainage as soon as needed. Fracture of the acromion and separation of the acromial epiphysisare lesions often indistinguishable. The two centers of ossification forthe acromion appear about the sixteenth year, a
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . good useof the limb is to be expected, even if some deformity persists. Inopen fractures suppuration may occur from bacterial infection and pusburrow under the scapula. This should be averted by furnishingfacilities for drainage as soon as needed. Fracture of the acromion and separation of the acromial epiphysisare lesions often indistinguishable. The two centers of ossification forthe acromion appear about the sixteenth year, and ossification is com-plete between the twenty second and twenty fifth year. Hence, directviolence falling upon the elbow or muscular contraction may easilycause epiphyseal separation even in adults. The line in acromial fracture is usually either in front of the articu-lation with the clavicle or at the root of the acromion process. Ab-sence of deformity and con-FlG- 181. tusionof the soft parts may obscure the recognition ofthe lesion. When the pro-cess is broken at its basemuch flattening of theshoulder is produced by theweight of the arm pulling Fig.
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