The treatment and ultimate function of any fracture near the shoulder is dependent as much on the integrity of the soft parts as of the bone. These must not be damaged in treating the bone, and if this should occur, every effort must be made to aid in their restoration.
The initial step in preventing injury to the soft parts is to put the shoulder at rest by immobilizing the limb when first seen. A large thick axillary pad of nonabsorbent cotton batting or its equivalent is used to fill the space between the body, arm and elbow. The forearm is flexed across the body; a sling of muslin bandage used for the purpose supports the wrist, and another lighter pad is applied to the outer surface of the arm which protects the skin and prevents pressure on the lymphatics. The pad on the outer surface of the arm prevents
GORDON D. FRACTURES OF THE UPPER END OF THE HUMERUS. JAMA. 1931;96(5):331–336. doi:10.1001/jama.1931.02720310021004
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