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Article
July 8, 1911

FRACTURE OF ANATOMIC NECK OF HUMERUS: WITH SUBCORACOID DISPLACEMENT OF LOWER FRAGMENT

Author Affiliations

NORFOLK, VA.

JAMA. 1911;LVII(2):112. doi:10.1001/jama.1911.04260070116010

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Abstract

Patient.  —W. S., a colored man, aged 50, gave a history of having had a fall on his right shoulder several weeks prior to the time I saw him. The right arm as a result was absolutely useless. As a physician was called in to see him at the time of the accident, I infer that others failed in the diagnosis.

Examination.  —I found what I thought was a subcoracoid dislocation of the humerus. After an unsuccessful attempt at reduction, under general anesthesia, I performed an arthrotomy, and found that what I had thought to be the head of the humerus was the displaced lower fragment. The end of the bone was smooth and convex. The articular surface of the bone had been shelled off and left in the glenoid cavity.

Operation.  —The upper fragment was left undisturbed. After pushing back the periosteum, about 1

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