The alleged malpractice suit : Thompson vs. Smith. Statement of experts and surgeons / Evidence reported by R.J. Hammond, reported for the Circuit court Nov. term, 1874, for Madison county, Iowa.
- Smith, A. B. (Arthur B.)
- Date:
- 1875
Licence: Public Domain Mark
Credit: The alleged malpractice suit : Thompson vs. Smith. Statement of experts and surgeons / Evidence reported by R.J. Hammond, reported for the Circuit court Nov. term, 1874, for Madison county, Iowa. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
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![dislocation of any kind? In reply to the above I would say tliat with the above symp- toms presenting I would not suspect a dislocation of the head of the humerus in any direction. The symptoms of a subcoracoid dislocation are so marked that it is almost impossible to mistake them. When the head of the bone has left the glenoid cavity you determine positively by the depression under the acromion process. The elbow is thrown away from the side and cannot be brought in contact with the side witliout force and pain. The axis of the limb is changed so as to direct from behind forward towards the middle of the clavicle. When the head is out of its cavity you cannot place the hand on the opposite shoulder. Mere support will not restore the rotundity of the shouhler in subcoracoid orany other dislocation of the head of the humerus. W.W. Dawson, M. D., Prof. Sury. Xed. Col. of Ohio. Question :—Suppose a man falling from a hoise, striking upon the back part of the shoulder producing an abrasion of the skin along the spine of the scapula, tJie man,s arm hanging powerless by his side, and he then takes the forearm in his other hand and carries it across the breast and there was droop- ing of the shoulder when not supported and when supported the rotundity was restored what would be your diagnosis? Answee:—The symptoms detailed are not sufficient to en- able me to say positively what was the nature of the injury. It is quite probable that the acromion process was bnjken or sepa- rated at the epiphysial line. Question 2:—' Would it be possible for a subcoracoid dislo- cation to exist with the arm in this position and no rigidity of the muscles? Answee:—In subcoracoid dislocation the elbow cannot be made to touch the front of the chest, or the hand carried to the opposite shoulder, the foreai-m may be carried across the breast, but the elbow will not at the same time be brought to the side; there will] )e ilatteiiiny: of the slioulder, but this flat- tening is not removed and I'otuTidity restored by simply sup-](https://iiif.wellcomecollection.org/image/b21078166_0026.jp2/full/800%2C/0/default.jpg)
