Physical Reconstruction And Orthopedics

Cover Physical Reconstruction And Orthopedics
Physical Reconstruction And Orthopedics
Harry Eaton Stewart
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Fracture of the greater or lesser tuberosity should be wired unless it is possible, after setting the dislocation, to abduct and ex- ternally rotate the arm without redislocation. Bone pegs and screws are sometimes used.
Fracture of the neck of the scapula leaves a movable joint. The arm is easily adducted; the whole shoulder dropped. The elbow is raised and retained by a fixating bandage.
Recurring dislocations are treated by operation with repair of the rent and occasionally tucks taken in th
...e relaxed capsular ligament.
Fractures op the Humerus. Fracture of the Anatomical Neck. The line of fracture seldom follows the anatomical neck exactly ; often the greater tuberosity is included. Impaction and the separation of fragments are common, especially in the aged. There are pain, swell- 162 ORTHOPEDICS ing and hemorrhage, but the head is in place ; crepitus is not easily obtained ; the shortening is not great.
When firmly impacted do not attempt to disengage. Bind the arm with a modified Velpeau bandage, using a triangular axillary pad.


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