Observations and cases relative to dislocations of the shoulder joint : with a variety of methods for reduction, and an appendix, containing, as notes, extracts from various writers on surgery, &c interspersed with comments on medical and surgical cases; and also plates with explanatory tables, shewing a variety of instruments, machinery, &c for surgical purposes / by R. Roberts.

  • Roberts, Robert.
Date:
1829
Catalogue details

Licence: Public Domain Mark

Credit: Observations and cases relative to dislocations of the shoulder joint : with a variety of methods for reduction, and an appendix, containing, as notes, extracts from various writers on surgery, &c interspersed with comments on medical and surgical cases; and also plates with explanatory tables, shewing a variety of instruments, machinery, &c for surgical purposes / by R. Roberts. Source: Wellcome Collection.

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

    14/190 (page 8)
    If it has passed towards the coracoid process or Position 2nd. it is not so plainly felt, and if it has passed under the pectoral muscle, or Position 3rd. it will be still more easily discern- ed by the touch. Cases sometimes occur of displacement back- wards, but very rarely, as do fractures of the socket, see Note 22. Here the experienced surgeon applies his principles as in each com- plicated case. If the bone has only passed partially through the capsule downwards or forwards, it will then be felt, yet not so distinctly in either, espe- cially in the forward one, and in these positions it is firmer bound, and less moveable. In one instance of this state the elbow could be pressed readily to the side. Here the head of bone was lost from home, and was felt a little forwards, but (bound tight to its position) sufficient to prove its partial escape, and the ' snapping of it into the socket on slight efforts to replace it, was positive demonstration of the reality of the case here described, A partial displacement requires the greatest care and discrimination in regard to the efforts for its reduction, and so does the case recorded by Atkins, (a naval surgeon and author) where- in the upper tendon of the biceps cubiti is re- moved from its groove, see Note 6. It is a question whether this does not generally take