Illustrations of some of the injuries to which the lower limbs are exposed / by Charles Brandon Trye.
- Date:
- 1802
Licence: Public Domain Mark
Credit: Illustrations of some of the injuries to which the lower limbs are exposed / by Charles Brandon Trye. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![/ [ *7 ] fiioulder, but ftill fo as to leave him at liberty freely to ufe his hands. An extenfion being made by alii ft ants in fuch direction as he (hall judge moll expedient, Handing with his face to the patient, let him pufli with his left hand the proceftus acro- mion of the fcapula backwards and downwards, and with his right hand pull the humerus forwards and upwards, and by erecting his body he will be able to apply the entire fum of his mufcular ftxengtli in elevating or bringing forwards the head of the bone *. I know no other way of reducing the humerus which allows the furgeon to cm ploy his hands in any appropriate manoeuvre, and at the fame time gives him an opportunity of applying his whole mufcular ftrengtli in aid of his co-operators. 1 believe I have tried every method which either book> or the practice and communication of feveral furgeons have taught me, or my own ingenuity has fuggefted, and J give a preference to the mode which 1 have deferibed. I am aware of the common objection to elevating the head of the bone ; I mean its prefting againft the neck of the fcapula, and there meeting with an impediment to its replacement. But I think that, whoever will take the pains to examine the figure and lituation of the human fcapula, will fee that this objection is raifed upon no very folid grounds. For the anterior margin or inferior cojta of the fcapula, which lies over the difiocated head when feated in the axilla, is continued im- mediately from the glenoid cavity, and is bevelled all the way till it comes to the inferior angle. So that this bone will prefent little or no refiftance to the afeent of a fegment of a fphere (the head of the humerus), even if it be elevated in a perpendicular direction; but if the furgeon, as he erects his body, recedes a little * Or he may apply both hands to the fcapula if one be not fufScicnt to adt upon that bone. D 2 from](https://iiif.wellcomecollection.org/image/b21913183_0041.jp2/full/800%2C/0/default.jpg)
