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Updated: June 5, 2025
'You mean to acknowledge, then, said the Baronet, 'that you inflicted upon young Hazlewood of Hazlewood that wound which endangered his life, considerably lacerated the clavicle of his right shoulder, and deposited, as the family surgeon declares, several large drops or slugs in the acromion process?
As a rule, it is only in superficially placed bones, such as the tibia, ulna, clavicle, mandible, or phalanges, that tuberculous disease in the marrow gives rise to signs sufficiently definite to allow of its clinical recognition.
The inconvenience caused by the bulk and weight of the limb may justify its removal. We desire here to acknowledge our indebtedness to Mr. James Sherren's work on Injuries of Nerves and their Treatment. #The Brachial Plexus.# Lesions of the brachial plexus may be divided into those above the clavicle and those below that bone.
"A butcher includes the scapula in a shoulder of mutton for a specific purpose, namely, to take off a given quantity of meat. And also, as a sheep has no clavicle, it is the easiest way to detach the limb. But I imagine a butcher would find himself in difficulties if he attempted to take off a man's arm in that way. The clavicle would be a new and perplexing feature.
"You mean to acknowledge, then," said the Baronet, "that you inflicted upon young Hazlewood of Hazlewood that wound which endangered his life, considerably lacerated the clavicle of his right shoulder, and deposited, as the family surgeon declares, several large drops. or slugs in the acromion process?"
Good God! that young Hazlewood of Hazlewood should have had his life endangered, the clavicle of his right shoulder considerably lacerated and dislodged, several large drops or slugs deposited in the acromion process, as the account of the family surgeon expressly bears, and all by an obscure wretch named Vanbeest Brown!
He fell almost perpendicularly 170 feet, fracturing the right frontal sinus, the left clavicle, tibia, and fibula. In five months he had so far recovered as to be put on duty again, and he served as an efficient soldier. There is an account of recovery after a fall of 192 feet, from a cliff in County Antrim, Ireland.
'We lifed upon soup, horse-flesh, und beans for dinner, but before we vas eaten der soup, Reingelder he haf hold of his arm und cry, "It is genumben to der clavicle. I am a dead man; und Yates he haf lied in brint!" 'I dell you it vas most sad, for der symbtoms dot came vas all dose of strychnine.
The correct method of breathing involves only what may be called the breathing-muscles, but it utilizes all of these, thus insuring complete and effectual action; whereas clavicular breathing secures only a partial coöperation of these muscles, and in the effort involved in raising the clavicle and shoulder-blades actually is obliged to call on muscles that simply are employed to lift the weight of the body, have nothing whatever to do with breathing and, from their position, are a hindrance rather than an aid to chest-expansion.
Gilbert's surgical chapters discuss the general treatment of wounds and their complications, and more specifically that of wounds of the head, neck, throat, wounds of nerves, of the oesophagus, scapula, clavicle, of the arm, the stomach, intestines and the spleen; fractures of the clavicle, arm, forearm and ribs; compound fractures; dislocations of the atlas, jaw, shoulder and elbows; fistulae in various localities, and the operations on the tonsils and uvula, on goitre, hernia and stone in the bladder, etc. certainly a surgical compendium of no despicable comprehensiveness for a physician of his age and country.
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