Transactions of the Western Surgical Association Volume 30

Transactions of the Western Surgical Association Volume 30

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1921 edition. Excerpt: ...had seven dislocations, one while swimming, and one while in bed after a fifteen months' interval. June 18, 1920, a capsulorrhaphy was performed; the sheaths of the teres major and of the pectoralis major were lengthened. The operation is too recent from which to judge ultimate results. CASE 19 (326010).--Mr. G. C. P., aged 36, was examined February 22, 1920. This patient had had epilepsy for eight years, but the first dislocation of the left shoulder occurred five months before our examination. A second dislocation had occurred six weeks before during a seizure. Unfortunately the doctor in reducing it broke the surgical neck of the humerus. An open operation was performed and good position was secured, but during an epileptic attack (attacks usually came on during sleep) the shoulder luxated. When we saw him the position of the fracture was so poor and the dislocation had been present so long that my colleague, Dr. Meyerding, excised the head. We have not heard from'the patient since his dismissal August 24, 1920, but at that time function promised to be good. CONCLUSIONS 1. Capsulorrhaphy to strengthen the shoulder gave 50 per cent cures in the 16 cases of habitual or recurrent dislocation of the shoulder. Five (31.25 per cent) of the patients are so decidedly improved that they are more than satisfied with the operation. This percentage of improvement and the percentages of cures give good results in 81.25 per cent. 2. It is probable that muscle pull or possible relaxation of the shoulder capsule above has not been sufficiently considered in the treatment. It is reasonable to suggest, therefore, that the pectoralis major, teres major, and latissimus daris be lengthened and if thought necessary, the region of the capsule where the...
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Product details

  • Paperback | 92 pages
  • 189 x 246 x 5mm | 181g
  • United States
  • English
  • black & white illustrations
  • 1236898672
  • 9781236898678