A practical treatise on fractures and dislocations (1907) (14764501711)
Summary
Identifier: practicaltreatis1907stim (find matches)
Title: A practical treatise on fractures and dislocations
Year: 1907 (1900s)
Authors: Stimson, Lewis Atterbury, 1844-1917
Subjects: Fractures Dislocations
Publisher: New York Philadelphia : Lea brothers :
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons
Text Appearing Before Image:
cases of head presentation delivery was instrumental in one,easy in one, difficult in two. Kiister, operating upon one, found the glenoid fossa normally placedbut small, and the humerus rested on its posterior border. In a caseI operated upon and in Cumstons the conditions were the same. Dr.Phelps told me he had found the fossa defective at its posterior mar-gin, as if a piece had been broken off. Radiographs of three of mycases show an apparently normal glenoid fossa and humerus, but allthe bones of the limb, in all four cases, were smaller than those of theother. My patients when examined were six, nine, nine, and elevenyears old; Scudders were seven and nine, Gaillards sixteen, Cum-stons five; five of the eight were girls. 1 Malgaigne : Loc. cit., p. 569. 2 Kiister: Ein Chirurg. Triennium, 1882, p. 256. 3 Scudder : Archives of Pediatrics, April, 1890. * Phelps: Transactions American Psediatric Association, 1895. 5 Cumston: American Journal Medical Science, June, 1903. >w <Oh
Text Appearing After Image:
CONGENITAL DISLOCATIONS OF THE SHOULDER. 613 The head of the humerus can be seen and fell beneath and behindthe acromion (Fig. 302), sometimes quite close to its normal position,sometimes much further back; in Gai Hards at about an equal distancefrom the two ends of the spirits of the scapula. The elbow is directedforward and a little outward and is markedly rotated inward. Thisposition is noted in all and is evidently characteristic Motion, activeand passive, is limited in all directions, especially outward rotation andadduction. Scudders and Cumstons electrical examination of the mus-cles showed little difference between the two sides ; in one of mine themuscles supplied by the musculo-spiral and museulo-cutaneous nerveswere markedly paretic, in two all were normal, and in one rotationof the forearm was weak, but its range was complete. In all mycases the condition was noticed at birth; in one the child cried when-ever the limb was handled, but after two months moved it voluntarily.