The philosophy of manipulation in the reduction of hip and shoulder dislocations : read before the American Surgical Association, 1884 / by Moses Gunn.

  • Moses Gunn
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: The philosophy of manipulation in the reduction of hip and shoulder dislocations : read before the American Surgical Association, 1884 / by Moses Gunn. 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.

    19/22 page 19
    Fig. 8.—Showing untorn upper part of capsule in axillary dislocation of humerus. For the reduction of this dislocation it is convenient to have the patient sit upon the floor. The arm is then raised to an angle of 45 degrees from the horizontal, and intrusted to an assistant, while the surgeon places his hands on the shoulder with the tips of the fingers in the axilla, resting on the dislocated head. The assistant now makes upward and outward traction, and the head glides into place followed by the surgeon’s fingers in the axilla. The arm is then lowered to the pendent position, keeping up the tension till the arm is by the side of the body. The forward dislocation. In the forward, subcoracoid luxation, the anterior portion of the capsule is ruptured, while the posterior untorn portion is stretched across the glenoid cavity and holds the head firmly against the anterior edge, and the elbow in the retracted position characteristic of the accident. Fig. 9 and the specimen from which it was taken illustrate this condition. To reduce this dislocation an assistant should fix the shoulder while the surgeon raises the arm to a horizontal position, carries it backward, rotates it externally, and draws it into position.
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