As a general rule, a fracture or dislocation is thought of by the general practitioner solely in terms of the relation that bones or fragments of bones bear to each other. The effect of the soft parts in restoring normal alinement or in preventing it is lost sight of.
The interposition of soft parts in preventing union, causing malunion or interfering with restitution is well recognized and will not be discussed. But the clinician with increasing experience is more and more impressed with the importance of the utilization of the closely encircling muscles, ligaments, tendons, capsule and periosteum or portions of the latter in marshaling fragments into alinement. Failure to consider this important factor often leads to poor end-results, disappointment to the attendant or serious disability to the patient.
In such complicated joints as those of the shoulders and hips, this is especially important, and a precise knowledge of the
TAYLOR RT. FRACTURE DISLOCATION OF THE SHOULDERRELATION OF SOFT PARTS TO RESTORATION: A NEW METHOD OF TREATMENT. Arch Surg. 1928;17(3):475–483. doi:10.1001/archsurg.1928.01140090122008
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