THE TREATMENT OF RECENT DISLOCATIONS AND FRACTURE-DISLOCATIONS OF THE SHOULDER

Abstract

During the past ten years, many types of shoulder dislocations, both with and without fracture, have been studied. In all, the treatment here described has been employed. The method has been found easy in its application and gratifying in its results. In no instance could any bone, vascular, or nerve lesion, be attributed to its use. It is founded upon a proper regard for the anatomy of the part; and, in consequence, requires exhibition of only a minimum of " brute force" to achieve satisfactory reduction. In most instances, it can be carried out without the necessity of narcosis. This holds true even for old and infirm patients, provided their confidence has been obtained and is not abused. Because of this, it may be used as an office or Out-Patient Department procedure. (In an editorial on " Recurrent Dislocation of time Simoulder" in the British Volume of The Journal of Bone and Joint Surgery [30-B: 6-8, Feb. 1948], particular stress has been laid upon the necessity of preventing external rotation by immobilizing the shoulder in internal rotation for a period of at least four weeks. This seems to be in conformity with a very rational concept of shoulder dislocations, and should be employed in the postreduction phase of the treatment.)