Recent progress in surgery : the annual address delivered before the Massachusetts Medical Society, May 25, 1864 / by J. Mason Warren.

  • Warren, Jonathan Mason, 1811-1867.
Date:
1864
Catalogue details

Licence: Public Domain Mark

Credit: Recent progress in surgery : the annual address delivered before the Massachusetts Medical Society, May 25, 1864 / by J. Mason Warren. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    back into the old socket, so as thus to make at once the best practicable joint; or whether it should be placed in apposition with the head, and an attempt made at reduction after such a lapse of time as may be thought sufficient for the union of the fragments to take place. The latter method was tried with success, by Dr. John C. Warren, on a young man, whose case he reported in the Boston Medical and Surgical Journal for 1828. Immediate reduction having been attempted in vain, fracture-apparatus was applied. After seven weeks, extension was made with pulleys, and the dislocation reduced. This case is reported by Malgaigne, who considers the pre- cedent worthy to be followed in similar cases. I also attempted the same treatment in a case which occurred nearly twenty years ago ; but, in the at- tempt to break up the adhesions which had formed during the six or eight weeks that had elapsed, the callus gave way, and the fracture was reproduced. The broken end of the bone was then placed in the glenoid cavity, and the patient recovered with a very useful arm. In another case which has lately come under my notice, the arm had been paralyzed by fruitless attempts at reduction. I saw the patient, in consultation with other surgeons, at the end of seven weeks ; when it was decided to leave the bro- ken end of the bone in the socket. I afterwards learned that the paralysis was gradually passing off, and that the patient is now recovering the use of his arm.