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

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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$Q, .. What is it then that holds t]ie huraeriis and the head.of the humerus in a 8iTbcoracoid dislocation? A. It is the action of these muscles that draws the arm out from the bodv.and backward and the humerus is wedded under the coracoid process in this position, (indicating.; Q. What then do jou say are the diagnostic sunptoms of a subcoracoid lu.xation ? A. The arm is thrown out from the body and backward in this position and it can not be got down to the side without «;ausing great pain, the pressure oi tlie head of the liumerufi upon, the brachial plexus of nerves produces this ex- treme pain. ,;; - ■- :v: Q. Now I will ask you if you found any diagnostic symptoms of a subc(»racoid dislocation or any other kind of a luxation in the plaintiff at the time you called to treat him? A. No sir, there was no i^ymptoms of a dislocation of any kind. Q. Was there any disposition of the arm to remain but from-■ the body? ... - A. • None aX alL • : • -■ Q. Was the niobility of the joint complete or perfectat -the- time you werecalled to treat it? . .: A. Yes sir. it was. •Q. Was there any difficulty in bringing the arm to the- side? ■■■■ - • ■■ : • '■ • •' ■ •■- ■ — A. None at all, lie had his arm cio.^eto his side when T first- saw him. Q. Did lie complain of any numbness in his arm or hand? •- • A.--No sir. •Q. State whether numbness in the arm or hand is not in-^ variably present in a subcoracoid luxation? -■- '■• A. Ye« sir, it generally is. • Q - -You are positive that subcoracoid luxation did not exist'^ A;--I Icnow it did not. It could not possibly exist with the: arm in the position in which I found it. It would be an im-' possibility if he is made like other men, and I tliink he is. Q. If there was a dish)cation it was after you examined the shoulder ? A. Yes sir, there was no symptoms of dislocation when I examined him last- a,n<l-there-was no dislocation. Q. State whether he had the symptoms of a fracture of the: acromion ?$