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Updated: June 5, 2025
In many of these instances the state of the mind and occasionally the time of day have a marked influence. Men noted for their sagacity and courage have been prostrated by fear of pain. Sir Robert Peel, a man of acknowledged superior physical and intellectual power, could not even bear the touch of Brodie's finger to his fractured clavicle.
A blow on the abdomen or a fall may cause them. The most interesting cases are those in which the fractures are multiple and the causes unknown. Spontaneous fetal fractures have been discussed thoroughly, and the reader is referred to any responsible text-book for the theories of causation. Atkinson, De Luna, and Keller report intrauterine fractures of the clavicle.
Probably the most remarkable feature of this curious accident was the fact that there was no fracture or injury to the bone, and it was thought possible that the function of the arm would be but little impaired. Tousey reports a case of foreign body in the axilla that was taken for a necrotic fragment of the clavicle.
It entered the back near the left clavicle, beneath the scapula, close to the vertebrae between the intercostal spaces of the fifth and sixth ribs; grazing the pericardium it traversed the mediastinum, barely touching the oesophagus, and vena azygos, but completely severing the thoracic duct, and lodging in the xiphoid portion of the sternum.
This bone radiates or turns on the ulna, carrying the hand with it. Experiment 10. Left Clavicle, or Collar Bone. The Hand. The hand is the executive or essential part of the upper limb. Without it the arm would be almost useless. It consists of 27 separate bones, and is divided into three parts, the wrist, the palm, and the fingers.
The clavicle was fractured two inches from the acromial end, and the sternal end was driven high up into the muscles of the neck. The arm and hand were paralyzed, and the woman suffered great dyspnea. There was at first a grave emphysematous condition due to the laceration of several broken ribs. There was also suffusion and ecchymosis about the neck and shoulder.
In severe cases the application of hot cloths over the heart, or of the faradic current over the line of the phrenic nerve, just above the clavicle, may be called for. #Surgical Shock.# The condition known as surgical shock may be looked upon as a state of profound exhaustion of the mechanism that exists in the body for the transformation of energy.
In this method, although it is a combination of the three the clavicular, the diaphragmatic and the costal the clavicle plays so small a part, that the method may be termed mixed costal and diaphragmatic. The breath having been taken in, it should be held for a brief space of time. In expiration, allow the breath to escape very slowly.
There is complaint of pain above the clavicle, and winging of the scapula; the patient is unable to raise the arm in front of the body above the level of the shoulder or to perform any forward pushing movements; on attempting either of these the winging of the scapula is at once increased.
Sometimes the vein also is injured and an arterio-venous aneurysm established. Owing to the laxity of the tissues, it increases rapidly, and it may soon attain a large size, filling up the axilla, and displacing the clavicle upwards. This renders compression of the third part of the subclavian difficult or impossible.
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