Operative treatment of anchylosis of the shoulder-joint / by Edmond Souchon.

  • Souchon, Edmond, 1841-1924.
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: Operative treatment of anchylosis of the shoulder-joint / by Edmond Souchon. 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.

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    (23) Anchylosis of the resected extremity of the humerus in or near the glenoid cavity (this is also seen after resection for dislocation). (24) Anchylosis of the head of the humerus in an abnormal location (as in irreducible dislocation). (25) Anchylosis requiring resection and followed by disloca- tion of the resected extremity inside the coracoid process or under the clavicle.^ (26) Anchylosis with resection and followed by a dangling arm. (27) Anchylosis without resection, but presenting false union. (28) Anchylosis followed by stiffness of the new joint. (29) Anchylosis followed by dry arthritis of the new joint. Anchylosis not amenable to operatio7i.—The cases of an- chylosis which should not be operated upon are the following: (1) Anchylosis zuith a fairly useful limb as it stands, unless there is positive assurance of improving the movements, especially the movements that are particularly needed for the patient’s work. (2) Anchylosis zvith atrophy of the rnziscles, which condition would render the results of the operation useless. It may require the application of electricity and massage for some time before it is decided that the muscles are past redemption and the opera- tion useless. (3) Anchylosis hi a subject liable to rheumatism and gout, or complicated zuith some serious disease in an organ at large, should not be operated upon. Operation is contraindicated, especially when the muscles are irretrievably atrophied or degenerated, such as is the case in a great number of old anchyloses, and particularly those follow- ing long articular suppuration. When the muscles were in good condition at the time of the operation, if their nerves have been spared, and also their inser- tion to the periosteal sheath, they may acquire such strength that will allow them to raise with the lower segment of the humerus the balance of the limb, and also perform useful move- ments.®