TRANSACTIONS OF THE NEW YORK SURGICAL SOCIETY

Robert Abbe
1894 Annals of Surgery  
after having fallen down-stairs and injured her right shoulder. She was thin, and the region was not swollen. All the positive signs of anterior dislocation were easily recognizable. On manipulation broad, coarse crepitus could be easily got, and the outline of the greater tuberosity would be made to appear under the skin in front, while the head could be felt by the fingers in the axilla. The tuber¬ osity could be felt plainly to rotate with the shaft, and with various manipulations of the
more » ... ulations of the humerus the upper end of the shaft could be felt to slide broadly and freely upon the head. There could be no question about the character of the injury. Having demonstrated beyond doubt the nature of the injury, he then abducted the arm, made traction upon it, and, with the fingers of the other hand in the axilla, pressed the head towards the socket; it slipped back into place with¬ out difficulty. A simple bandage was put on. The limb was con¬ fined to the side about six weeks. No traction was applied. When the limb was taken out of the dressing, three weeks ago, it was, of course, quite stiff, but under slight natural use the range of motion is increasing satisfactorily. Since fracture of the anatomical neck (without dislocation) is admittedly an obscure injury, of difficult diagnosis, the reporter took advantage of the fact that after reduction he had an undoubted 70
doi:10.1097/00000658-189407000-00010 fatcat:p7nlmowccretzmcenjjpy7vqza