Clinical notes upon two years' surgical work in the Liverpool Royal Infirmary / by W. Mitchell Banks.
- William Mitchell Banks
- Date:
- 1884
Licence: Public Domain Mark
Credit: Clinical notes upon two years' surgical work in the Liverpool Royal Infirmary / by W. Mitchell Banks. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![Fracture of the Neck of the Scapula.—Amoii;^ lIu; I'lacLures of the l)ones of tlie upper extremity an interesting^ case wa-s tliat of Catherine S., an ohi woman of 74, who was knocked down and run over by an empty coal cart. On admission she was suffering from shock and complained of lier right shoulder. On the following da}, having recovered from lier condition of collapse, the site of injury was carefully examined. The skin over the l)ack of the right scapula was bruised and movement of the shoulder gave paiii. Tlie shoulders and scapula' oi' opposite sides being compared, no a])- parent difFerence could be found between them. The right acromion and the spine of the scapula were then traced and found quite intact. The whole scapula was then steadied, and the arm, l)eing rotated, was seen to move easily and painlessly at the shoulder-joint, sliewing that there was no fracture of the neck of the humerus. Nevertheless, when the patient herself voluntarily moved the shoulder there was pain, and during our various manipu- lations a frequent and distinct sound of crepitation was heard. The blade of the scapula was therefore carefully fixed, and then, the shoulder as a wliole being grasped and moved up and down, crepitus was at once produced. This experiment was repeated again and again till no doubt remained that there was a fracture .somewhere between the glenoid cavity and the blade of tlie bone. This fracture was of necessity external to the root of the spine,other- wise that prominence would have been broken also, which was not the case. As it is believed that fracture of the anatomical neck—the nar- Fraclurc of the surgical neck of the scapula. row part immediately beyond the glenoid area—is practically impos- sible, or it all events has never been seen, it follows that, in the ])resent](https://iiif.wellcomecollection.org/image/b22294806_0032.jp2/full/800%2C/0/default.jpg)
