File:Radiography, x-ray therapeutics and radium therapy (1915) (14571514359).jpg

Identifier: radiographyxray00knox (find matches)
Title: Radiography, x-ray therapeutics and radium therapy
Year: 1915 (1910s)
Authors: Knox, Robert, 1868?-1928
Subjects: Radiography Radiotherapy
Publisher: New York, Macmillan
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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d, and then the above signs willnot be present. The Coracoid Process is rarely fractured, and only from direct violence.There is but little displacement, on account of the many powerful ligamentsattached to it. In spite of the attachment of such powerful musclesas the pectoralis minor, biceps, and coraco-brachialis, the displacement isnot great, as the process is keptin position by the coraco-clavicular ligament. The Neck of the scapula may be fractured immediately behind theglenoid cavity, but this is a rare injury. Its existence has been doubted.Astley Cooper and South have stated that cases so described are in realityfractures of the upper end of the humerus. There is, according to South,no specimen in any of the London museums illustrating fracture of the neckof the scapula (Erichsen). Walsham describes one case of this variety offracture which is in Guys Hospital museum, and Rose and Carless figure aninstance of this variety. It is usually due to direct violence; a portion of the
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PLATE XL—Fractures in Kegion of Shoulder-joint. a, Fracture at upper end of humerus, a longitudinal splitting of the shaft with head displacedforwards and downwards (dislocation of the head). h, Separation of the great tuberosity of the humerus. c, Fracture through lower aspect of glenoid cavity. d, Fracture of the clavicle (nnddle third), the base of the acromion process is irregular and appearsto be fractured. FRACTURES OF THE SCAPULA AND HUMERUS 159 articular surface is broken off and displaced downwards. Plate XI. Fig. cillustrates a case of this rare variety of fracture through the lower segment ofthe glenoid cavity, with displacement downwards of the fragment. Thepatient was admitted to the Great Northern Central Hospital suffering froman injury to the shoulder, which was taken to be a dislocation of the headdownwards. The skiagram shows the fracture and the typical displacement.A case recorded by Spence is the first authentic instance of this fracture.A patient who had fallen

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