A treatise on the fractures of the lower end of the radius, on fractures of the clavicle (and their treatment by a new clavicular apparatus) : and on the reduction of the recent inward dislocations of the shoulder joint (by manipulation) / Alexander Gordon.

  • Gordon, Alexander
Date:
1875
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on the fractures of the lower end of the radius, on fractures of the clavicle (and their treatment by a new clavicular apparatus) : and on the reduction of the recent inward dislocations of the shoulder joint (by manipulation) / Alexander Gordon. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    muscle.* Erichsen says: Where the bone is broken between the conoid and trapezoid ligaments there is little, if any, displacement, but pain on pres- sure, some crepitus on moving the shoulder, and slight irregularity on running the finger along the bone. When the fracture is external to the trapezoid ligament there is a remarkable oblique displacement of the scapular fragment, the articular surface of which is turned forwards and inwards, with a slight inclin- ation downwards, nearly at right angles to the rest of the bone, apparently by the dragging of the weight of the shoulder the point of which with the scapnla rounded forwards.]* Fracture of the clav- icle in its outer end is a very common accident, forming about 25 per cent, of the total number of fractures of the clavicle. In the museum of Queen's College, Belfast, there is an excellent collection, both in number and variety, of these fractures; many of them I dissected, and found that in none was the fracture external to the extreme insertion of the trapezoid ligament. I un- hesitatingly affirm that in the figures given by Dr. Smith, the seat of fracture was not external to the trapezoid ligament and between it and the acromio- clavicular articulation. I believe that a specimen of such a fracture has yet to be observed and described, as the trapezoid ligament is attached nearer to the end of the clavicle than the fracture in the specimens figured by Dr. Smith, or in any in Queen's College Museum. In most of the college * 41A Troatiso on Fractures in the Vicinity of Joints, p. 222. J Scionco and Art of Surgery, Erichsen, 4th ed.
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