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Joints and Ligaments of Clavicle-stock-foto
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Right Clavicle-Multiple Views-stock-foto
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Anterior view of Right Clavicle-stock-foto
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Superior view of Right Clavicle-stock-foto
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Right view of Right Clavicle-stock-foto
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Posterior view of Right Clavicle-stock-foto
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Left view of Right Clavicle-stock-foto
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Inferior view of Right Clavicle-stock-foto
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Clavicle, superior surface, human  anatomy-stock-foto
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. Radiography and radio-therapeutics . There is little displace-ment. It may be shown radiographically as a fissured fracture of the bone. (3) Through the greater convexity of the bone. There is frequentlyconsiderable displacement. (See Plate XL Fig. d.) (4) At the sternal end. This may be complicated by a partial dis-placement. (5) Greenstick fracture of the clavicle, a common injury in children.Frequently only a decided bend on the bone is seen, but occasionally aminute crack may be detected. Fracture of the Scapula The Body of the scapula may be broken in cases of injury due to directviolen-stock-foto
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. Radiography and radio-therapeutics . There is httle displace-ment. It may be shown radiographically as a fissured fracture of the bone. (3) Through the greater convexity of the bone. There is frequentlyconsiderable displacement. (See Plate XL Fig. d.) (4) At the sternal end. This may be comphcated by a partial dis-placement. (5) Greenstick fracture of the clavicle, a common injury in children.Frequently only a decided bend on the bone is seen, but occasionally aminute crack may be detected. Fracture of the Scapula The Body of the scapula may be broken in cases of injury due to directviolence-stock-foto
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. Report of the geological exploration of the fortieth parallel . r inferior, view, i^ -Right coracoid of Apatornis celer; anterior view, j^45 5a —Sternal end. -Riglit coracoid of Apatornis celer; posterior view, 145 ■Upper portion of clavicle of Apatornis celer; exterior view, 147 7a— Posterior view.Jb— Inner view.7c— Anterior view. ■Sternum of Apatornis celer; infei-ior view, 148 ■Left scapula of Tchthyomis victor Marsh ; exterior view, 141 9a—Proximal end. ■Left scapula of Ichthyornis victor; anterior, or exterior, view, 141 •Left scapula of IcMhyomis victor; inner view, 141 ■Left scapula o-stock-foto
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. Atlas and epitome of traumatic . ^v. Fir/, la Fig. 1 b /,/t/i.Ans/. /: ReiclihoUl. M FRACTURES OF THE UPPER EXTREMITY. 135 Fracture of the sternal segment of the clavicle is rare,and does not, as a rule, produce any deformity. Fracture of the acromial end of the clavicle sometimesproduces marked deformity, the outer fragment beingalmost placed on end. It may be difficult to apply thebandage so as to keep both fragments in position, but goodreduction and an elastic bandage are required. (B) Dislocations of the Clavicle (a) Sternal dislocation of the clavicle—I e,, dislo-cation of the sternal-stock-foto
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. Atlas and epitome of traumatic . EXTREMITY. 135 Fracture of the sternal segment of the clavicle is rare,and does not, as a rule, produce any deformity. Fracture of the acromial end of the clavicle sometimesproduces marked deformity, the outer fragment beingalmost placed on end. It may be difficult to apply thebandage so as to keep both fragments in position, but goodreduction and an elastic bandage are required. (B) Dislocations of the Clavicle (a) Sternal dislocation of the clavicle—I e,, dislo-cation of the sternal end of the clavicle—presents variousforms : Anterior dislocation (luxatio p-stock-foto
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. A practical treatise on fractures and dislocations. Fracture of the sternum. Fractures of the border have been observed in three instances, oncein connection with fracture of the ribs, a scale of bone correspondingto the articulation with the first rib being broken off; a second time inconnection with dislocation of the sternal end of the clavicle, the por-tion to which the sterno-cleido-mastoid was attached being torn off anddrawn upward nearly half an inch ; and in a third case in connectionwith a transverse fracture lower down. FRACTURES OF THE STERNUM. 17!). Transverse fracture at or nea-stock-foto
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. A practical treatise on fractures and dislocations. ar later after a fit of coughing he feltsomething give away in his side and found a wide space between thoseribs. Aunis2 found in a man fifty years old a dislocation forward of theseventh cartilage from the eighth ; it could be reduced by pressure, butimmediately recurred. The injury was caused by a fall backward. 1 Hochenzegg: Medical Press and Circular, Dec. 17, 1890.2Aunis: Gaz. Hebdom., March 13, 1892. CHAPTER XLL DISLOCATIONS OF THE CLAVICLE. Of the Sternal End: Forward, backward, upward—Of the Acromial End:Supra-acromial, subacromial,-stock-foto
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. A practical treatise on fractures and dislocations. t to fall.The patient felt a sharp pain at the root of the neck and front of tim-eliest, and it was found that the sternal end of the right clavicle badbeen disloeated upward and inward and that the first and second costalcartilages of the same side had been disloeated from the sternum for-ward and outward. In Duverneys case all the ligaments were torn and the periosteumwas stripped from the end of the elaviele ; probably, therefore, themeniscus remained attached to the sternum. In R. W. Smiths ease,the end of the left clavicle rested on th-stock-foto
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. A treatise on practical anatomy: for students of anatomy and surgery . nubrium.Insertion—YosXexioY surface of the sternal end ofclavicle. 160 PRACTICAL ANATOMY. COSTO-CLAVICULAR, or E,HOMBOID. Origin—Upper inner part of first costal cartilage.Irisertimi—Hhomboid depression on inferior surfaceof clavicle.FiBRO-CARTiLAGE: Flat disk interposed between thebones; attached to costo-sternal articulation offirst cartilage; inserted into the upper anteriorpart of the sternal endof the clavicle. ACROMIO-CLAVICULAR ARTICULA-TIONS. Ligaments*:Superior. Origin—Superior surface of acromion.Insertion—Super-stock-foto
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. A practical treatise on fractures and dislocations . scles fromabove; by the action of the samemuscles, aided by the pectoralis mi-nor, and perhaps by some portion of , , nr . r . -? r . Complete oblique fracture, near the middle the subclavius, it is drawn toward of the clavicle.the body, diminishing thereby the axillary space, while by the preponderating strength of the pectoralismajor and minor, the acromial end of the fragment, with the shoulder,is drawn forwards; the sternal end of the same fragment being ratherdisplaced backwards, and at the same time resting at a point some-what eleva-stock-foto
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. Handbook of anatomy; being a complete compend of anatomy, including the anatomy of the viscera a chapter on dental anatomy, numerous tables, and incorporating the newer nomenclature adopted by the German anatomical Society, generally designated the Basle nomenclature or BNA . articular cartilage and two synovial membranes, andforming the front part of the capsular ligament; Posterior sternoclavicular passes over the posterior aspect ofthe joint and corresponds to the former; Interclavicular {ligamentum inter claviculare) passes fromthe sternal end of the clavicle on one side across the supra-stock-foto
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. An introduction to the osteology of the mammalia . n have epiphyses at each end. The presternum is compressed and produced forwards inthose species in which the clavicle is absent or rudimentary,as the Aguti, the Hares, and the Capybara. In the latter itmuch resembles that of the Horse or Tapir. Order UNGULATA.—In the Ruminantia there are usuallyseven segments altogether in the sternum (Fig. 35). Thepresternum is narrow, rounded in front, and bearing the firstpair of sternal ribs close to its apex. The succeeding piecesgradually widen, the posterior segments of the mesosternumbeing square, f-stock-foto
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. Minor and operative surgery, including bandaging . Dislocation of sternal end of clavicleforward. (Bryant.) Dislocation of clavicle at acromialend. (Bryant.) Dislocations of the Scapula.—Dislocation of the acro-mion process of the scapula from the outer end of theclavicle, which has been described under dislocations ofthe acromial end of the clavicle, is classed by some writersas a scapular dislocation. Dislocation of the Inferior Angle of the Scapula.—Thedisplacement of the inferior angle of the scapula fromunder the latissimus dorsi muscle is due to relaxationof this muscle and of the serr-stock-foto
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. The science and practice of medicine . called the scapular); the inter-scapular;the infra-scapular (sometimes called the upper dorsal). Of theseregions the three sternal are single, all the rest are double. The Subclavicular Region is a small triangular space above theclavicle on either side, with its base internally at the trachea, itsapex towards the outer end of the clavicle, and bounded below bythe upper edge of that bone. A line drawn from the outer partof the clavicle to the upper rings of the trachea will limit its upperborder. In this region is found the triangular apex of the lung (-stock-foto
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A treatise on dislocations and on fractures of the joints . the dislocation of the os humeri forwards,behind the pectoralis major, and under the clavicle. Fig. 3.The bones of the trunk, shewing the seats of dislocationof the clavicle and os humeri. A. Sternal end of the clavicle thrown upon the sternum B. Scapular end of the clavicle thrown upon the spine of the scapular C. Spine of the scapular D. The glenoid cavity E. Coracoid process F. Head of the os humeri thrown into the axilla G. Head of the os humeri thrown forwards upon the second rib under the clavicle, and upon the inner side of the-stock-foto
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A manual of anatomy . i to i inch (i to 2.5 cm.) above the clavicle overthe sternal end of the first rib, draw a line to the midsternal line topass under the sternoclavicular articulation. On the right sidecontinue this line down to the level of the sixth chondrosternal junc-tion, then obliquely outward to the tenth rib, or interspace on themidaxillary line and then horizontally across to a point betweenthe spine of the twelfth thoracic vertebra and the transverse processof the first lumbar vertebra. From this point carry a line verti-cally to the upper border of the third thoracic vertebra an-stock-foto
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A practical treatise on fractures and dislocations . of the bone, andadvised the application of a plaster; and, on the other hand, a patientpresented himself to Yelpeau, who had been treated for a dislocation,when the bone was only expanded by disease. I have myself also seen a fracture so near the sternal end of thebone as not to be easily distinguished from a dislocation. Pathology.—In complete anterior luxation of the clavicle, the cap-sular ligament suffers a complete disruption, and also the anteriorwith the posterior sterno-clavicular ligaments. The rhomboid andinterarticular ligaments s-stock-foto
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Surgery; its theory and practice . hfor it may be attended with irreparable damage. A galvanometerhas occasionally been used for its discovery with success. In smashes of the hand requiring operative interference, thethumb and as many fingers—indeed as much of the hand—aspossible, should be saved. Dislocations of the Upper Extremity. Dislocations of the clavicle.—I. The sternal end may be dis-located, I, forward ; 2, upwards ;and, 3, backwards. Cause.—The forward and the upwarddislocations are produced by in-direct violence, such as a blowor fall upon the front or top ofthe shoulder ; the back-stock-foto
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The pathology and surgical treatment of tumors . f the clavicle for central sarcoma. The patient was a boy sixteenyears of age. The tumor, which was located near the sternal end, waslarger than a hens &^%, had not extended beyond the periosteum, andwas covered by an imperfect thin shell of bone. The boy recoveredalmost perfect use of the arm, and the tumor never returned. In 1876,Henry Morris excised the lower end of the right radius and the lowerfourth of the ulnar for sarcoma. No recurrence had taken place six-teen years after the operation (Fig. 418). The patient recovered con-siderable use-stock-foto
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The practice of surgery . rom theanterior to the posterior margin of its base, fourteen inches, and fromthe upper to the lower margin of its base, ten inches. The integumentswere dissected from the clavicle, the bone disconnected from the ster-num ; its sternal end elevated and detached from the subclavius muscle,so as to admit of the finger of an assistant being passed under it tosecure the subclavian artery. Having tied this vessel, Dr. M. dividedthe accompanying vein, when a bubble of air entered it, which causedthe patient instantly to swoon, and he was roused with much difficulty. The imm-stock-foto
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The hydropathic encyclopedia : a system of hydropathy and hygiene in eight parts ..designed as a guide to families and students, and a text-book for physicians . .In dislocations of the sternal end of the clavicle, the costo-clavicularligament, called also rhomboid, is ruptured, occasioning a peculiar de-formity. Fig. 29. Fig. 29 shows the ligaments of th»eterno-clavicular and costo-sternal articu-lations. 1. Anterior sterno-elavicular liga-ment. 2. Inter-clavicular ligament. 3.Costo-clavicular. 4. Interarticular carti-lage. 5. Anterior costo-sternal ligameDteof the first and second ribs. Soap-stock-foto
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Atlas and epitome of traumatic fractures and dislocations . Fuf.l. -%.1%-^. Fin.L yitj.U) I.ilh.A/isI i: Heichltald Miinchcn FRACTURES OF THE UPPER EXTREMITY. 135 Fracture of the sternal segment of the clavicle is rare,and does not, as a rule, produce any deformity. Fracture of the acromial end of the clavicle sometimesproduces marked deformity, tlie outer fragment beingalmost placed on end. It may be difficult to apply thebandage so as to keep both fragments in position, but goodreduction and an elastic bandage are required. (B) Dislocations of the Clavicle (a) Sternal dislocation of the clav-stock-foto
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Atlas and epitome of traumatic fractures and dislocations . Y. 135 Fracture of the sternal segment of the clavicle is rare,and does not, as a rule, produce any deformity. Fracture of the acromial end of the clavicle sometimesproduces marked deformity, tlie outer fragment beingalmost placed on end. It may be difficult to apply thebandage so as to keep both fragments in position, but goodreduction and an elastic bandage are required. (B) Dislocations of the Clavicle (a) Sternal dislocation of the clavicle—i. e., dislo-cation of the sternal end of the clavicle—presents variousforms : Anterior dis-stock-foto
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The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . Surgical anatomy of the axillary rt-giuu (SediUot.) an inch from the sternal end of the Fig. 481. clavicle, and terminating near theanterior margin of the deltoid M muscles attachment to that bone,taking care not to cut the cephalicvein. The fibres of the peetoralismajor are to be divided in the samedirection and to the same extent.The semilunar flap thus formed is then raised, when the peetoralis mi- ^ nor will be seen crossing the inferiorpart of the wound. The pulsa-tions of the artery-stock-foto
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A practical treatise on fractures and dislocations . scapes, the whole work of repairhas to be recommenced as from the beginning. To this end at least fouror six weeks are necessary, and sometimes the period must be lengthenedfar beyond these limits; so that it may often become a grave point ofinquiry whether the long confinement of the limb will not entail moreserious consequences than have ever been known to arise from leavingthe bone displaced. In no case seen by me has the function of the armbeen very seriously impaired by the displacement. Dislocations of the Sternal End of the Clavicle U-stock-foto
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A practical treatise on fractures and dislocations . ed from the sternum forward and up-ward.] Symptoms.—The symptoms are, a depression of the shoulder, with anelevation of the sternal end of the clavicle so as to increase sensibly thespace between it and the first rib. The clavicle also encroaches more orless upon the supra-sternal fossa, occasioning a corresponding diminu-tion of the space between the end of the shoulder and the centre of thesternum. The sternal portion of one or both of the sterno-cleido-mastoidmuscles may also be seen raised and rendered tense by the pressure ofthe head of-stock-foto
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A manual of examinations : upon anatomy, physiology, surgery, practice of medicine, chemistry, obstetrics, materia medica, pharmacy and therapeutics, especially designed for students of medicine, to which is added a medical formulary . — It is some-what triangular. What is attached to the posterior angle of the sternal end?—Theinter-clavicular ligament. With what is the tubercle at the posterior part near the humeralend connected ? — It is connected by a strong ligament to the coracoidprocess of the scapula.^ What is the form of the scapular end of the clavicle ? — It is flatand broad. What mu-stock-foto
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A manual of examinations : upon anatomy, physiology, surgery, practice of medicine, chemistry, obstetrics, materia medica, pharmacy and therapeutics, especially designed for students of medicine, to which is added a medical formulary . avicle near its sternal end. What are the ligaments connecting the clavicle and scapula ? (Fig. 43.) — The capsular, the conoid, and the trapezoid. What is the situation of the capsularligament ?—It arises around the sternal/r ? ^--^ )VhU ^^l ®^^ ^^ ^^^ clavicle, and is fixed round (f , I ^Hiir^^Hs^^S^^l^ ^^^ articular surface of the acromion. Where is the conoi-stock-foto
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The hydropathic encyclopedia: a system of hydropathy and hygiene .. . r.In dislocations of the sternal end of the clavicle, the costo-clavicularligament, called also rhomboid, is ruptured, occasioning a peculiar de-formity. Fig. 89. Fig. 29 shows the ligaments of to*sterno-clavicular and costo-sternal articu-lations. 1. Anterior sterno-clavicular liga-ment. 2. Inter-clavicular ligament. 3,Costo-clavicular. 4. Interarticular card,lage. 5. Anterior costb-sternal ligamentsof the first and second ritrs. Soafulo-Clavicular Joint—The shoulder blade and breastbone are connected by two sy-novial membr-stock-foto
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A system of surgery . ion. To depress the shaftof the clavicle, a padded belt may pass across the bone, and besecured in front and behind to a waist-band. A band passes fromthe clavicular part of the belt round the root of the neck, to preventit from slipping outwards. The elbow and shoulder should be at thesame time well raised, to heave up the acromial end of the clavicle,and depress the sternal end. General remarks on the treatment of dislocations of the sternalend of the clavicle.—The drawing of the shoulder outwards by meansof a large axillary pad, together with the supine position, have-stock-foto
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Modern surgery, general and operative . wire it. or resect the displaced head. Upward dislocation of the sternal end of the clavicle is very rare. Thecause is indirect force, which carries the shoulder downward, inward, andbackward (Smith). Symptoms and Treatment of Upivard Dislocation of the Sternal End of theClavicle.—The chief symptom is impaired function of the arm; the shoulderpasses do-nward and inward, the claicular axis is altered, and the displacedhead is felt. Dyspnea may or may not exist. To treat this dislocation, put apad in the axilla and press the elbow to the side (in order-stock-foto