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May 1947

PROGRESS IN ORTHOPEDIC SURGERY FOR 1945 A Review Prepared by an Editorial Board of the Amercian Academy of Orthopaedic Surgeons: XIV. FRACTURES

Arch Surg. 1947;54(5):571-612. doi:10.1001/archsurg.1947.01230070580008


Fractures of the Humerus.  —Godfrey425 in a study of gunshot wounds of the humerus associated with fracture arrives at the following conclusions: 1. Gunshot wounds of the humerus present the problem of a fracture difficult to immobilize, plus a wound, often extensive, requiring management. 2. In order effectively to immobilize the fracture a shoulder spica cast must be used. [Ed. Note (L. D. B.): Because of the wide range of motion in the shoulder girdle a shoulder spica does not effectively immobilize the shoulder or upper fragment of a fractured humerus.] 3. Uninterrupted fixation combined with accessibility to the wound for the purpose of doing a proper dressing is essential. A prefabricated cast which is designed to accomplish these objectives is described.The value of the hanging cast method of treatment for compound fractures of the humerus is discussed by Macey and Coventry.426