Surgery, Its Principles And Practice 2

Cover Surgery, Its Principles And Practice 2
Surgery, Its Principles And Practice 2
Da Costa, J. Chalmers (John Chalmers), 1863-1933
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Note the prominence of the acromion process and the flattening of the shoulder, due to absence of the head of the humerus.
400 DISLOCATIONS.
The elbow is abducted. By palpation one can feel a depression or lack of resistance below the acromion process, so that the fingers can be deeply pressed in. If an attempt be made to grasp the head of the humerus, as is shown in Fig. 105, it will be found to be absent in its normal position.
Further examination will show that the head can be felt just belo
...w the coracoid process. The head can also be grasped by inserting the fingers high up into the axilla. The arm is almost completely fixed.
Voluntar\' rotation and abduction are often present to a slight extent, but it is impossible to carry out passive movements unless the capsule is greatly torn. If such be the case, it is often possible to move the arm passively to some extent in all directions.
In very stout patients palpation of the shoulder region is very difficult, and a dislocation may be easily overlooked.


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