The purpose of this paper is to call attention to the proper treatment of arm-chest adhesions. It is based on a review of the literature and on a study of forty-eight cases hitherto unreported. These may be divided as follows: twenty-five cases in which operation was performed in the surgical clinic of the Johns Hopkins Hospital, by fifteen operators; two at the Children's Hospital School, by two operators; fourteen in which I have operated, and seven cases in which the patients have come to me for consultation, two of whom are now awaiting operation.
The deformities caused by these adhesions, in extensive cases, are among the most serious with which the plastic surgeon has to deal. The affected arm is practically incapacitated, and in young people growth and development are retarded. A disagreeable and not unimportant accompaniment is the fact that the patient is frequently unable to wear ordinary clothes.