Volume 2

Regional surgery, including surgical diagnosis : a manual for the use of students / by F.A. Southam.

  • Southam, F. A.
Date:
1882-1886
Catalogue details

Licence: Public Domain Mark

Credit: Regional surgery, including surgical diagnosis : a manual for the use of students / by F.A. Southam. Source: Wellcome Collection.

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    the nature of the affection. The undue prominence of the lower angle of the scapula must also be distin- guished from that which is met with in displacement of the bone from beneath the Latissimus Dorsi (385), and also in cases of paralysis of the Serratus Magnus (385). In some cases the bursa more or less completely solidifies, and then simulates a solid tumour, or it may suppurate, and in this way give rise to a Subscapular Abscess (388). 388. Subscapular Abscess. — Suppuration sometimes SujjJ52JjM occurs in the connective tissue between the subsca- pular! s and serratus magnus, giving rise to the for- mation of a deep-seated abscess in this situation. Owing to its distance from the surface, fluctuation and the external evidences of inflammation are at first usually absent, but there is general tumefaction and the scapula is rendered unduly prominent, being raised from the chest walls and sometimes appearing to float. The pus often burrows widely, and may make its way downwards below the scapula, upwards into the neck, backwards beneath the Latissimus Dorsi, or forwards into the axilla (424), obliterating the hollow which is normally present: in the latter case the axillary swelling will be rendered more manifest, if pressure is made upon the scapula, or if the arm is drawn forwards. 389. Undue prominence of the Scapula may be due to Plg^1ce of various causes, viz.:— Subscapular Bursitis (387). Subscapular Abscess (388). Displacement of Scapula (385). Lateral curvature of Spine (697). The Scapula is sometimes the seat of sarcomatous Tus™p|jslaof and cartilaginous growths, more rarely of exostoses.