. A treatise on dislocations and fractures of the joints. his shoulder,when, the appearances of dislocation still remaining, I advised a fur-ther extension, to which he would not consent. I had frequent op-portunities of seeing him afterwards, but the shoulder exhibited thesame appearances of dislocation. He had, however, the power ofusing the hand and arm in all directions excepting upwards, but couldnot raise his arm parallel with his body; and he suffered but littlepain or inconvenience. In June, 1824, he died ; and as he had always promised me thedissection of his shoulder if I survived hi
. A treatise on dislocations and fractures of the joints. his shoulder,when, the appearances of dislocation still remaining, I advised a fur-ther extension, to which he would not consent. I had frequent op-portunities of seeing him afterwards, but the shoulder exhibited thesame appearances of dislocation. He had, however, the power ofusing the hand and arm in all directions excepting upwards, but couldnot raise his arm parallel with his body; and he suffered but littlepain or inconvenience. In June, 1824, he died ; and as he had always promised me thedissection of his shoulder if I survived him, I removed it in thepresence of Mr. Arnott, Surgeon of Greenwich Hospital, examinedit with great care, and have the bones preserved. The deltoid, teresmajor, and coraco-brachialis muscles did not appear to me to be alter-ed ; the supra-spinatus was lessened, as was the teres minor, which AND NECK OF THE HUMERUS. 365 had lost much of its natural color ; the infra-spinatus was stretched;the subscapularis, diminished and rounded by the projection of the. head of the os humeri, adhered to its cartilaginous surface. The cap-sular ligament was torn under the subscapularis muscle, but everyother part was entire. The head of the os humeri had been thrownforwards on the inner side of the coracoid process, and had unitedby bone to the scapula; but its cartilage remained under the tendonof the subscapularis. The neck of the os humeri was broken through,and had been covered by a granular ligamentous substance ; but theparts were kept together only by the ligament of the joint, and a newand very useful joint had been formed. The outer edge of the glenoidcavity remained; the surface of the glenoid cavity was granulatedand ligamentous. The greater tubercle of the os humeri was exceed-ingly increased, and the tendon of the biceps passed through the tubercles were separated with the body of the bone, and not withits head. This, then, was a case of fracture of the cervix humeri within
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Keywords: ., bookcentury1800, bookdecade1840, booksubjectfractur, bookyear1844
