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June 20, 1885

INJURIES OF THE MAIN BLOODVESSELS IN THE AXILLA CAUSED BY EFFORTS TO REDUCE DISLOCATIONS OF THE SHOULDER.

JAMA. 1885;IV(25):687. doi:10.1001/jama.1885.02391000015006

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Abstract

Such is the title of a paper by Dr. Lewis A. Stimson, read before the New York Surgical Society on May 26. The paper is based on a collection of forty-four cases, thirteen of which were fatal without operation, seven (all the cases) of double ligature fatal, six cases of recovery without operation, four cases of disarticulation at the shoulder with three deaths, and fourteen cases of ligature of the subclavian, with eight deaths and one unknown result. In commenting upon these cases Dr. Stimson thinks that it is a fair inference that conservative treatment may properly be tried at first, " but should not be prolonged if the symptoms do not promptly yield; and, secondly, that in case of resort to operation, ligature of the subclavian artery or disarticulation at the shoulder is to be preferred to incision of the sac and double ligature of the artery."

It is especially

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