Scaife ATLAS

On the Articulations (14-15)

urn:cts:greekLit:tlg0627.tlg010.perseus-eng2:14-15

Refs	`{'start': {'reference': '14', 'human_reference': 'Section 14'}, 'end': {'reference': '15', 'human_reference': 'Section 15'}}`
Ancestors	`[]`
Children	`[]`

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When a fractured clavicle is fairly broken across it is more easily treated, but when broken obliquely it is more difficult to manage. Matters are different in these cases from what one would have supposed; for a bone fairly broken across can be more easily restored to its natural state, and with proper care the upper part may be brought down by means of suitable position and proper bandaging, and even if not properly set, the projecting part of the bone is not very sharp. But in oblique fractures the case is similar to that of bones which have been torn away, as formerly described; for they do not admit of being

p.222

restored to their place, and the prominence of the bone is very sharp. For the most part, then, it should be known, no harm results to the shoulder or to the rest of the body from fracture of the clavicle, unless it sphacelate, and this rarely happens. A deformity, however, may arise from fracture of the clavicle, and in these cases it is very great at first, but by and by it becomes less. A fractured clavicle, like all other spongy bones, gets speedily united; for all such bones form callus in a short time. When, then, a fracture has recently taken place, the patients attach much importance to it, as supposing the mischief greater than it really is, and the physicians bestow great pains in order that it may be properly bandaged; but in a little time the patients, having no pain, nor finding any impediment to their walking or eating, become negligent; and the physicians finding they cannot make the parts look well, take themselves off, and are not sorry at the neglect of the patients, and in the meantime the callus is quickly formed.[*] The method of dressing which is most appropriate, is similar to that used in ordinary cases, consisting of cerate, compresses, and bandages; and it should be most especially known in this operation, that most compresses should be placed on the projecting bone, and that the greatest pressure should be made there. There are certain physicians who make a show of superior skill by binding a heavy piece of lead on the part in order to depress the projecting bone; but this mode of treatment does not apply to the clavicle, for it is impossible to depress the projecting part to any extent worth mentioning. There are others who, knowing the fact that the bandages are apt to slip off, and that they do not keep the projecting parts in their place, apply compresses and bandages like the others, and then having girt the patient with a girdle, where it is usually applied with most effect, they make a heap of the compresses upon the projecting bone when they apply them, and having fastened the head of the bandage to the girdle in front, they apply it so as to bring the turns of it into the line of the clavicle, carrying them to the back, and then bringing them around the girdle they

p.223

carry them to the fore part and again backward. There are others who do not apply the bandage round the girdle, but carry the rounds of it by the perineum and anus, and along the spine, so as to compress the fracture. To an inexperienced person these methods will appear not far from natural, but when tied, they will be found of no service; for they do not remain firm any length of time, even if the patient keep his bed, although in this position they answer best; and yet even when lying in bed, should he bend his leg, or should his trunk be bent, all the will be displaced; and, moreover, the bandaging is inconvenient, in as much as the anus is comprehended by it, and many turns of the bandage are crowded there in a narrow space. And in the method with the girdle, the girdle cannot be so firmly girt around, but that the turns of the bandage force the girdle to ascend, and hence of necessity all the other bandages must be slackened. He would seem to me to come nearest his purpose, although after all he effects but little, who would take a few turns round the girdle, but would use the bandage principally to secure the former bandaging; for in this manner the bandages would be most secure, and would mutually assist one another. Every thing now almost has been said which applies to fracture of the clavicle. But this also should be known, that in fractures of the clavicle, it is the part attached to the breast which is uppermost, and that the piece attached to the acromion is the lowermost. The cause of this is, that for the most part the breast can neither be depressed nor raised, there being but a slight movement of the joint at the breast, for the sternum is connected together on both sides with the spine. The clavicle admits of most motion at the joint of the shoulder, and this arises from its connection with the acromion. And, moreover, when broken, the part which is connected with the sternum flies upward, and is not easily forced downward; for it is naturally light, and there is more room for it above than below. But the shoulder, the arm, and the parts connected with them, are easily moved from the sides and breast, and, on that account, they admit of being considerably elevated and depressed. When, therefore, the clavicle is broken, the fragment attached to the shoulder inclines downward, for it inclines much more readily

p.224

with the shoulder and arm downward than upward. Matters being as I have stated, they act imprudently who think to depress the projecting end of the bone. But it is clear that the under part ought to be brought to the upper, for the former is the movable part, and that which has been displaced from its natural position. It is obvious, therefore, that there is no other way of applying force to it (for the bandages no more force it to than they force it from); but if one will push the arm when at the sides as much as possible upward, so that the shoulder may appear as sharp as possible, it is clear that in this way it will be adjusted to the fragment of the bone connected with the breast from which it was torn. If one then will apply a bandage, secundum artem, for the purpose of promoting a speedy cure, and will reckon everything else of no value, except the position as described, he will form a correct opinion of the case, and will effect a cure in the speediest and most appropriate manner. It is of great importance, however, that the patient should lie in a recumbent posture. Fourteen days will be sufficient if he keep quiet, and twenty at most.

But if the clavicle be fractured in the opposite manner (which does not readily happen), so that the fragment of bone connected with the breast is depressed, while the piece connected with the acromion is raised up and rides over other, this case does not require much management, for if the shoulder and arm be let go, the fragments of the bone will be adjusted to one another, and an ordinary bandage will suffice, and the callus will be formed in the course of a few days.

Tokens

When	1	w	4
a	1	w	5
fractured	1	w	14
clavicle	1	w	22
is	1	w	24
fairly	1	w	30
broken	1	w	36
across	1	w	42
it	1	w	44
is	2	w	46
more	1	w	50
easily	1	w	56
treated	1	w	63
but	1	w	67
when	1	w	71
broken	2	w	77
obliquely	1	w	86
it	2	w	88
is	3	w	90
more	2	w	94
difficult	1	w	103
to	1	w	105
manage	1	w	111
Matters	1	w	119
are	1	w	122
different	1	w	131
in	1	w	133
these	1	w	138
cases	1	w	143
from	1	w	147
what	1	w	151
one	1	w	154
would	1	w	159
have	1	w	163
supposed	1	w	171
for	1	w	175
a	15	w	176
bone	1	w	180
fairly	2	w	186
broken	3	w	192
across	2	w	198
can	1	w	201
be	1	w	203
more	3	w	207
easily	2	w	213
restored	1	w	221
to	3	w	223
its	1	w	226
natural	1	w	233
state	1	w	238
and	1	w	242
with	1	w	246
proper	1	w	252
care	1	w	256
the	2	w	259
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part	1	w	268
may	1	w	271
be	2	w	273
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down	1	w	284
by	1	w	286
means	1	w	291
of	1	w	293
suitable	1	w	301
position	1	w	309
and	2	w	312
proper	2	w	318
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and	4	w	331
even	1	w	335
if	3	w	337
not	1	w	340
properly	1	w	348
set	1	w	351
the	3	w	355
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part	2	w	369
of	2	w	371
the	4	w	374
bone	2	w	378
is	4	w	380
not	2	w	383
very	1	w	387
sharp	1	w	392
But	1	w	396
in	4	w	398
oblique	2	w	405
fractures	1	w	414
the	5	w	417
case	2	w	421
is	5	w	423
similar	1	w	430
to	4	w	432
that	1	w	436
of	3	w	438
bones	1	w	443
which	1	w	448
have	2	w	452
been	1	w	456
torn	1	w	460
away	1	w	464
as	5	w	467
formerly	1	w	475
described	1	w	484
for	3	w	488
they	1	w	492
do	2	w	494
not	3	w	497
admit	1	w	502
of	4	w	504
being	1	w	509
restored	2	w	517
to	7	w	519
their	1	w	524
place	1	w	529
and	5	w	533
the	8	w	536
prominence	1	w	546
of	5	w	548
the	9	w	551
bone	4	w	555
is	6	w	557
very	2	w	561
sharp	2	w	566
For	1	w	570
the	10	w	573
most	1	w	577
part	3	w	581
then	1	w	586
it	8	w	589
should	1	w	595
be	6	w	597
known	1	w	602
no	5	w	605
harm	1	w	609
results	1	w	616
to	8	w	618
the	12	w	621
shoulder	1	w	629
or	11	w	631
to	9	w	633
the	13	w	636
rest	3	w	640
of	6	w	642
the	14	w	645
body	1	w	649
from	2	w	653
fracture	3	w	661
of	7	w	663
the	15	w	666
clavicle	2	w	674
unless	1	w	681
it	9	w	683
sphacelate	1	w	693
and	6	w	697
this	1	w	701
rarely	1	w	707
happens	1	w	714
A	1	w	716
deformity	1	w	725
however	1	w	733
may	2	w	737
arise	1	w	742
from	3	w	746
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of	8	w	756
the	16	w	759
clavicle	3	w	767
and	7	w	771
in	7	w	773
these	2	w	778
cases	2	w	783
it	11	w	785
is	9	w	787
very	3	w	791
great	1	w	796
at	9	w	798
first	1	w	803
but	2	w	807
by	2	w	809
and	8	w	812
by	3	w	814
it	12	w	816
becomes	1	w	823
less	2	w	827
A	2	w	829
fractured	2	w	838
clavicle	4	w	846
like	1	w	851
all	1	w	854
other	1	w	859
spongy	1	w	865
bones	2	w	870
gets	1	w	875
speedily	1	w	883
united	1	w	889
for	5	w	893
all	2	w	896
such	1	w	900
bones	3	w	905
form	3	w	909
callus	1	w	915
in	8	w	917
a	70	w	918
short	1	w	923
time	1	w	927
When	2	w	932
then	2	w	937
a	71	w	939
fracture	6	w	947
has	1	w	950
recently	1	w	958
taken	1	w	963
place	2	w	968
the	20	w	972
patients	1	w	980
attach	1	w	986
much	1	w	990
importance	1	w	1000
to	10	w	1002
it	14	w	1004
as	8	w	1007
supposing	1	w	1016
the	21	w	1019
mischief	1	w	1027
greater	1	w	1034
than	1	w	1038
it	15	w	1040
really	1	w	1046
is	11	w	1048
and	9	w	1052
the	22	w	1055
physicians	1	w	1065
bestow	1	w	1071
great	3	w	1076
pains	1	w	1081
in	11	w	1083
order	1	w	1088
that	2	w	1092
it	16	w	1094
may	3	w	1097
be	9	w	1099
properly	2	w	1107
bandaged	1	w	1115
but	3	w	1119
in	12	w	1121
a	92	w	1122
little	1	w	1128
time	2	w	1132
the	23	w	1135
patients	2	w	1143
having	1	w	1150
no	6	w	1152
pain	2	w	1156
nor	1	w	1160
finding	1	w	1167
any	1	w	1170
impediment	1	w	1180
to	12	w	1182
their	2	w	1187
walking	1	w	1194
or	19	w	1196
eating	1	w	1202
become	2	w	1209
negligent	1	w	1218
and	11	w	1222
the	25	w	1225
physicians	2	w	1235
finding	2	w	1242
they	2	w	1246
cannot	1	w	1252
make	1	w	1256
the	27	w	1259
parts	1	w	1264
look	1	w	1268
well	1	w	1272
take	2	w	1277
themselves	1	w	1287
off	1	w	1290
and	12	w	1294
are	4	w	1297
not	5	w	1300
sorry	1	w	1305
at	17	w	1307
the	29	w	1310
neglect	1	w	1317
of	10	w	1319
the	30	w	1322
patients	3	w	1330
and	13	w	1334
in	21	w	1336
the	31	w	1339
meantime	1	w	1347
the	32	w	1350
callus	2	w	1356
is	12	w	1358
quickly	1	w	1365
formed	1	w	1371
See	1	w	1375
the	33	w	1378
Plate	1	w	1383
at	20	w	1385
the	34	w	1388
end	1	w	1391
of	11	w	1393
the	35	w	1396
volume	1	w	1402
The	1	w	1406
method	1	w	1412
of	12	w	1414
dressing	1	w	1422
which	2	w	1427
is	13	w	1429
most	2	w	1433
appropriate	1	w	1444
is	14	w	1447
similar	2	w	1454
to	13	w	1456
that	3	w	1460
used	1	w	1464
in	23	w	1466
ordinary	1	w	1474
cases	3	w	1479
consisting	1	w	1490
of	13	w	1492
cerate	1	w	1498
compresses	1	w	1509
and	14	w	1513
bandages	1	w	1521
and	16	w	1525
it	18	w	1527
should	3	w	1533
be	11	w	1535
most	3	w	1539
especially	1	w	1549
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in	26	w	1556
this	2	w	1560
operation	1	w	1569
that	4	w	1574
most	4	w	1578
compresses	2	w	1588
should	4	w	1594
be	12	w	1596
placed	1	w	1602
on	12	w	1604
the	36	w	1607
projecting	2	w	1617
bone	7	w	1621
and	17	w	1625
that	5	w	1629
the	37	w	1632
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pressure	1	w	1648
should	5	w	1654
be	13	w	1656
made	1	w	1660
there	1	w	1665
There	1	w	1671
are	5	w	1674
certain	1	w	1681
physicians	3	w	1691
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make	2	w	1698
a	137	w	1699
show	1	w	1703
of	14	w	1705
superior	1	w	1713
skill	1	w	1718
by	4	w	1720
binding	1	w	1727
a	138	w	1728
heavy	1	w	1733
piece	1	w	1738
of	15	w	1740
lead	1	w	1744
on	14	w	1746
the	39	w	1749
part	5	w	1753
in	31	w	1755
order	2	w	1760
to	14	w	1762
depress	1	w	1769
the	40	w	1772
projecting	3	w	1782
bone	8	w	1786
but	4	w	1790
this	3	w	1794
mode	1	w	1798
of	16	w	1800
treatment	1	w	1809
does	1	w	1813
not	6	w	1816
apply	1	w	1821
to	15	w	1823
the	41	w	1826
clavicle	5	w	1834
for	8	w	1838
it	19	w	1840
is	18	w	1842
impossible	1	w	1852
to	16	w	1854
depress	2	w	1861
the	42	w	1864
projecting	4	w	1874
part	6	w	1878
to	17	w	1880
any	2	w	1883
extent	1	w	1889
worth	1	w	1894
mentioning	1	w	1904
There	2	w	1910
are	6	w	1913
others	1	w	1919
who	2	w	1922
knowing	1	w	1930
the	44	w	1933
fact	1	w	1937
that	6	w	1941
the	45	w	1944
bandages	2	w	1952
are	7	w	1955
apt	1	w	1958
to	18	w	1960
slip	1	w	1964
off	2	w	1967
and	19	w	1971
that	7	w	1975
they	3	w	1979
do	4	w	1981
not	7	w	1984
keep	1	w	1988
the	47	w	1991
projecting	5	w	2001
parts	2	w	2006
in	37	w	2008
their	3	w	2013
place	4	w	2018
apply	2	w	2024
compresses	3	w	2034
and	20	w	2037
bandages	3	w	2045
like	2	w	2049
the	49	w	2052
others	2	w	2058
and	22	w	2062
then	3	w	2066
having	2	w	2072
girt	1	w	2076
the	52	w	2079
patient	4	w	2086
with	2	w	2090
a	165	w	2091
girdle	1	w	2097
where	1	w	2103
it	21	w	2105
is	19	w	2107
usually	1	w	2114
applied	1	w	2121
with	3	w	2125
most	5	w	2129
effect	1	w	2135
they	4	w	2140
make	3	w	2144
a	169	w	2145
heap	1	w	2149
of	18	w	2151
the	54	w	2154
compresses	4	w	2164
upon	1	w	2168
the	55	w	2171
projecting	6	w	2181
bone	9	w	2185
when	2	w	2189
they	5	w	2193
apply	3	w	2198
them	2	w	2202
and	23	w	2206
having	3	w	2212
fastened	1	w	2220
the	58	w	2223
head	1	w	2227
of	19	w	2229
the	59	w	2232
bandage	5	w	2239
to	19	w	2241
the	60	w	2244
girdle	2	w	2250
in	41	w	2252
front	1	w	2257
they	6	w	2262
apply	4	w	2267
it	23	w	2269
so	2	w	2271
as	11	w	2273
to	20	w	2275
bring	1	w	2280
the	62	w	2283
turns	1	w	2288
of	20	w	2290
it	24	w	2292
into	1	w	2296
the	63	w	2299
line	1	w	2303
of	21	w	2305
the	64	w	2308
clavicle	6	w	2316
carrying	1	w	2325
them	3	w	2329
to	22	w	2331
the	66	w	2334
back	1	w	2338
and	25	w	2342
then	4	w	2346
bringing	1	w	2354
them	4	w	2358
around	1	w	2364
the	69	w	2367
girdle	3	w	2373
they	7	w	2377
carry	2	w	2382
them	5	w	2386
to	23	w	2388
the	72	w	2391
fore	1	w	2395
part	8	w	2399
and	26	w	2402
again	1	w	2407
backward	1	w	2415
There	3	w	2421
are	8	w	2424
others	3	w	2430
who	3	w	2433
do	5	w	2435
not	8	w	2438
apply	5	w	2443
the	74	w	2446
bandage	6	w	2453
round	2	w	2458
the	75	w	2461
girdle	4	w	2467
but	5	w	2471
carry	3	w	2476
the	76	w	2479
rounds	1	w	2485
of	22	w	2487
it	25	w	2489
by	5	w	2491
the	77	w	2494
perineum	1	w	2502
and	28	w	2505
anus	1	w	2509
and	29	w	2513
along	1	w	2518
the	78	w	2521
spine	1	w	2526
so	3	w	2529
as	12	w	2531
to	24	w	2533
compress	5	w	2541
the	79	w	2544
fracture	7	w	2552
To	1	w	2555
an	43	w	2557
inexperienced	1	w	2570
person	1	w	2576
these	3	w	2581
methods	1	w	2588
will	1	w	2592
appear	1	w	2598
not	9	w	2601
far	1	w	2604
from	4	w	2608
natural	2	w	2615
but	6	w	2619
when	3	w	2623
tied	1	w	2627
they	8	w	2632
will	2	w	2636
be	14	w	2638
found	1	w	2643
of	23	w	2645
no	16	w	2647
service	1	w	2654
for	10	w	2658
they	9	w	2662
do	6	w	2664
not	10	w	2667
remain	1	w	2673
firm	1	w	2677
any	3	w	2680
length	1	w	2686
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time	4	w	2692
even	2	w	2697
if	4	w	2699
the	83	w	2702
patient	5	w	2709
keep	2	w	2713
his	4	w	2716
bed	2	w	2719
although	1	w	2728
in	53	w	2730
this	4	w	2734
position	2	w	2742
they	10	w	2746
answer	1	w	2752
best	2	w	2756
and	30	w	2760
yet	1	w	2763
even	3	w	2767
when	4	w	2771
lying	1	w	2776
in	55	w	2778
bed	3	w	2781
should	6	w	2788
he	99	w	2790
bend	1	w	2794
his	6	w	2797
leg	1	w	2800
or	29	w	2803
should	7	w	2809
his	7	w	2812
trunk	1	w	2817
be	19	w	2819
bent	1	w	2823
all	8	w	2827
the	85	w	2830
will	3	w	2834
be	21	w	2836
displaced	1	w	2845
and	31	w	2849
moreover	1	w	2858
the	86	w	2862
bandaging	2	w	2871
is	25	w	2873
inconvenient	1	w	2885
in	58	w	2888
as	13	w	2890
much	2	w	2894
as	14	w	2896
the	87	w	2899
anus	2	w	2903
is	26	w	2905
comprehended	1	w	2917
by	6	w	2919
it	27	w	2921
and	33	w	2925
many	1	w	2929
turns	2	w	2934
of	25	w	2936
the	88	w	2939
bandage	7	w	2946
are	9	w	2949
crowded	1	w	2956
there	2	w	2961
in	59	w	2963
a	228	w	2964
narrow	1	w	2970
space	1	w	2975
And	1	w	2979
in	60	w	2981
the	90	w	2984
method	3	w	2990
with	4	w	2994
the	91	w	2997
girdle	5	w	3003
the	92	w	3007
girdle	6	w	3013
cannot	2	w	3019
be	22	w	3021
so	5	w	3023
firmly	1	w	3029
girt	2	w	3033
around	2	w	3039
but	7	w	3043
that	8	w	3047
the	93	w	3050
turns	3	w	3055
of	26	w	3057
the	94	w	3060
bandage	8	w	3067
force	1	w	3072
the	95	w	3075
girdle	7	w	3081
to	25	w	3083
ascend	1	w	3089
and	36	w	3093
hence	1	w	3098
of	27	w	3100
necessity	1	w	3109
all	9	w	3112
the	96	w	3115
other	5	w	3120
bandages	4	w	3128
must	1	w	3132
be	23	w	3134
slackened	1	w	3143
He	1	w	3146
would	2	w	3151
seem	1	w	3155
to	26	w	3157
me	18	w	3159
to	27	w	3161
come	3	w	3165
nearest	1	w	3172
his	8	w	3175
purpose	1	w	3182
although	2	w	3191
after	1	w	3196
all	10	w	3199
he	115	w	3201
effects	1	w	3208
but	8	w	3211
little	2	w	3217
who	4	w	3221
would	3	w	3226
take	3	w	3230
a	247	w	3231
few	1	w	3234
turns	4	w	3239
round	5	w	3244
the	98	w	3247
girdle	8	w	3253
but	9	w	3257
would	4	w	3262
use	2	w	3265
the	99	w	3268
bandage	10	w	3275
principally	1	w	3286
to	28	w	3288
secure	1	w	3294
the	100	w	3297
former	2	w	3303
bandaging	3	w	3312
for	13	w	3316
in	63	w	3318
this	5	w	3322
manner	1	w	3328
the	101	w	3331
bandages	5	w	3339
would	5	w	3344
be	24	w	3346
most	6	w	3350
secure	2	w	3356
and	41	w	3360
would	6	w	3365
mutually	1	w	3373
assist	1	w	3379
one	11	w	3382
another	1	w	3389
Every	1	w	3395
thing	1	w	3400
now	4	w	3403
almost	1	w	3409
has	2	w	3412
been	2	w	3416
said	1	w	3420
which	3	w	3425
applies	1	w	3432
to	29	w	3434
fracture	8	w	3442
of	28	w	3444
the	103	w	3447
clavicle	7	w	3455
But	2	w	3459
this	6	w	3463
also	1	w	3467
should	8	w	3473
be	26	w	3475
known	3	w	3480
that	9	w	3485
in	65	w	3487
fractures	2	w	3496
of	29	w	3498
the	104	w	3501
clavicle	8	w	3509
it	31	w	3512
is	31	w	3514
the	105	w	3517
part	9	w	3521
attached	1	w	3529
to	30	w	3531
the	106	w	3534
breast	1	w	3540
which	4	w	3545
is	32	w	3547
uppermost	1	w	3556
and	42	w	3560
that	10	w	3564
the	107	w	3567
piece	2	w	3572
attached	2	w	3580
to	31	w	3582
the	108	w	3585
acromion	1	w	3593
is	33	w	3595
the	109	w	3598
lowermost	1	w	3607
The	5	w	3611
cause	1	w	3616
of	30	w	3618
this	7	w	3622
is	35	w	3624
that	11	w	3629
for	14	w	3632
the	110	w	3635
most	10	w	3639
part	10	w	3643
the	111	w	3646
breast	2	w	3652
can	4	w	3655
neither	1	w	3662
be	27	w	3664
depressed	1	w	3673
nor	2	w	3676
raised	1	w	3682
there	3	w	3688
being	2	w	3693
but	10	w	3696
a	285	w	3697
slight	1	w	3703
movement	1	w	3711
of	31	w	3713
the	114	w	3716
joint	1	w	3721
at	40	w	3723
the	115	w	3726
breast	3	w	3732
for	15	w	3736
the	116	w	3739
sternum	1	w	3746
is	37	w	3748
connected	1	w	3757
together	1	w	3765
on	27	w	3767
both	1	w	3771
sides	1	w	3776
with	5	w	3780
the	118	w	3783
spine	2	w	3788
The	6	w	3792
clavicle	9	w	3800
admits	1	w	3806
of	32	w	3808
most	11	w	3812
motion	1	w	3818
at	41	w	3820
the	119	w	3823
joint	2	w	3828
of	33	w	3830
the	120	w	3833
shoulder	2	w	3841
and	43	w	3845
this	8	w	3849
arises	1	w	3855
from	5	w	3859
its	3	w	3862
connection	1	w	3872
with	6	w	3876
the	121	w	3879
acromion	2	w	3887
And	2	w	3891
moreover	2	w	3900
when	5	w	3905
broken	4	w	3911
the	122	w	3915
part	11	w	3919
which	5	w	3924
is	40	w	3926
connected	2	w	3935
with	7	w	3939
the	123	w	3942
sternum	2	w	3949
flies	1	w	3954
upward	1	w	3960
and	44	w	3964
is	41	w	3966
not	13	w	3969
easily	3	w	3975
forced	1	w	3981
downward	1	w	3989
for	17	w	3993
it	38	w	3995
is	42	w	3997
naturally	1	w	4006
light	2	w	4011
and	45	w	4015
there	4	w	4020
is	43	w	4022
more	6	w	4026
room	1	w	4030
for	18	w	4033
it	39	w	4035
above	1	w	4040
than	2	w	4044
below	1	w	4049
But	3	w	4053
the	125	w	4056
shoulder	3	w	4064
the	126	w	4068
arm	2	w	4071
and	46	w	4075
the	127	w	4078
parts	3	w	4083
connected	3	w	4092
with	8	w	4096
them	6	w	4100
are	11	w	4104
easily	4	w	4110
moved	1	w	4115
from	6	w	4119
the	129	w	4122
sides	2	w	4127
and	47	w	4130
breast	4	w	4136
and	48	w	4140
on	34	w	4143
that	12	w	4147
account	1	w	4154
they	11	w	4159
admit	3	w	4164
of	34	w	4166
being	3	w	4171
considerably	1	w	4183
elevated	1	w	4191
and	49	w	4194
depressed	2	w	4203
When	3	w	4208
therefore	1	w	4218
the	132	w	4222
clavicle	10	w	4230
is	44	w	4232
broken	5	w	4238
the	133	w	4242
fragment	1	w	4250
attached	3	w	4258
to	33	w	4260
the	134	w	4263
shoulder	4	w	4271
inclines	1	w	4279
downward	2	w	4287
for	20	w	4291
it	42	w	4293
inclines	2	w	4301
much	3	w	4305
more	7	w	4309
readily	1	w	4316
with	9	w	4320
the	135	w	4323
shoulder	5	w	4331
and	50	w	4334
arm	3	w	4337
downward	3	w	4345
than	3	w	4349
upward	2	w	4355
Matters	2	w	4363
being	4	w	4368
as	24	w	4370
I	1	w	4371
have	3	w	4375
stated	1	w	4381
they	12	w	4386
act	11	w	4389
imprudently	1	w	4400
who	5	w	4403
think	1	w	4408
to	34	w	4410
depress	5	w	4417
the	137	w	4420
projecting	7	w	4430
end	5	w	4433
of	35	w	4435
the	138	w	4438
bone	10	w	4442
But	4	w	4446
it	44	w	4448
is	45	w	4450
clear	1	w	4455
that	13	w	4459
the	139	w	4462
under	1	w	4467
part	13	w	4471
ought	2	w	4476
to	35	w	4478
be	32	w	4480
brought	2	w	4487
to	36	w	4489
the	140	w	4492
upper	3	w	4497
for	21	w	4501
the	141	w	4504
former	3	w	4510
is	46	w	4512
the	142	w	4515
movable	1	w	4522
part	14	w	4526
and	51	w	4530
that	14	w	4534
which	6	w	4539
has	3	w	4542
been	3	w	4546
displaced	2	w	4555
from	7	w	4559
its	4	w	4562
natural	4	w	4569
position	3	w	4577
It	1	w	4580
is	48	w	4582
obvious	1	w	4589
therefore	2	w	4599
that	15	w	4604
there	7	w	4609
is	49	w	4611
no	24	w	4613
other	7	w	4618
way	2	w	4621
of	36	w	4623
applying	1	w	4631
force	3	w	4636
to	37	w	4638
it	47	w	4640
for	25	w	4644
the	146	w	4647
bandages	6	w	4655
no	25	w	4657
more	8	w	4661
force	4	w	4666
it	48	w	4668
to	38	w	4670
than	4	w	4674
they	13	w	4678
force	5	w	4683
it	49	w	4685
from	8	w	4689
but	11	w	4694
if	5	w	4696
one	13	w	4699
will	4	w	4703
push	1	w	4707
the	148	w	4710
arm	4	w	4713
when	6	w	4717
at	52	w	4719
the	149	w	4722
sides	3	w	4727
as	26	w	4729
much	4	w	4733
as	27	w	4735
possible	2	w	4743
upward	3	w	4749
so	7	w	4752
that	16	w	4756
the	150	w	4759
shoulder	6	w	4767
may	4	w	4770
appear	2	w	4776
as	28	w	4778
sharp	3	w	4783
as	29	w	4785
possible	3	w	4793
it	50	w	4796
is	50	w	4798
clear	2	w	4803
that	17	w	4807
in	79	w	4809
this	9	w	4813
way	3	w	4816
it	51	w	4818
will	5	w	4822
be	34	w	4824
adjusted	1	w	4832
to	39	w	4834
the	151	w	4837
fragment	2	w	4845
of	37	w	4847
the	152	w	4850
bone	11	w	4854
connected	4	w	4863
with	10	w	4867
the	153	w	4870
breast	5	w	4876
from	9	w	4880
which	7	w	4885
it	53	w	4887
was	1	w	4890
torn	2	w	4894
If	1	w	4897
one	15	w	4900
then	5	w	4904
will	6	w	4908
apply	7	w	4913
a	371	w	4914
bandage	13	w	4921
secundum	1	w	4930
artem	1	w	4935
for	28	w	4939
the	155	w	4942
purpose	2	w	4949
of	38	w	4951
promoting	1	w	4960
a	375	w	4961
speedy	1	w	4967
cure	3	w	4971
and	54	w	4975
will	7	w	4979
reckon	1	w	4985
everything	1	w	4995
else	1	w	4999
of	39	w	5001
no	26	w	5003
value	1	w	5008
except	1	w	5015
the	156	w	5018
position	4	w	5026
as	32	w	5028
described	2	w	5037
he	183	w	5040
will	8	w	5044
form	7	w	5048
a	379	w	5049
correct	1	w	5056
opinion	1	w	5063
of	40	w	5065
the	157	w	5068
case	5	w	5072
and	55	w	5076
will	9	w	5080
effect	3	w	5086
a	382	w	5087
cure	4	w	5091
in	83	w	5093
the	158	w	5096
speediest	1	w	5105
and	56	w	5108
most	12	w	5112
appropriate	2	w	5123
manner	2	w	5129
It	2	w	5132
is	52	w	5134
of	41	w	5136
great	5	w	5141
importance	2	w	5151
however	2	w	5159
that	18	w	5164
the	159	w	5167
patient	6	w	5174
should	14	w	5180
lie	4	w	5183
in	84	w	5185
a	391	w	5186
recumbent	1	w	5195
posture	1	w	5202
Fourteen	1	w	5211
days	1	w	5215
will	10	w	5219
be	37	w	5221
sufficient	1	w	5231
if	6	w	5233
he	187	w	5235
keep	3	w	5239
quiet	1	w	5244
and	57	w	5248
twenty	1	w	5254
at	59	w	5256
most	13	w	5260
But	5	w	5264
if	7	w	5266
the	160	w	5269
clavicle	11	w	5277
be	38	w	5279
fractured	3	w	5288
in	85	w	5290
the	161	w	5293
opposite	1	w	5301
manner	3	w	5307
which	8	w	5313
does	2	w	5317
not	14	w	5320
readily	2	w	5327
happen	2	w	5333
so	8	w	5337
that	19	w	5341
the	162	w	5344
fragment	3	w	5352
of	42	w	5354
bone	12	w	5358
connected	5	w	5367
with	11	w	5371
the	163	w	5374
breast	6	w	5380
is	53	w	5382
depressed	3	w	5391
while	1	w	5397
the	164	w	5400
piece	3	w	5405
connected	6	w	5414
with	12	w	5418
the	165	w	5421
acromion	3	w	5429
is	54	w	5431
raised	2	w	5437
up	11	w	5439
and	58	w	5442
rides	1	w	5447
over	3	w	5451
other	8	w	5456
this	10	w	5461
case	6	w	5465
does	3	w	5469
not	15	w	5472
require	1	w	5479
much	5	w	5483
management	1	w	5493
for	30	w	5497
if	8	w	5499
the	167	w	5502
shoulder	7	w	5510
and	59	w	5513
arm	5	w	5516
be	39	w	5518
let	1	w	5521
go	1	w	5523
the	168	w	5527
fragments	1	w	5536
of	43	w	5538
the	169	w	5541
bone	13	w	5545
will	11	w	5549
be	40	w	5551
adjusted	2	w	5559
to	41	w	5561
one	18	w	5564
another	2	w	5571
and	60	w	5575
an	91	w	5577
ordinary	2	w	5585
bandage	14	w	5592
will	12	w	5596
suffice	1	w	5603
and	62	w	5607
the	171	w	5610
callus	3	w	5616
will	13	w	5620
be	41	w	5622
formed	2	w	5628
in	87	w	5630
the	172	w	5633
course	1	w	5639
of	44	w	5641
a	421	w	5642
few	2	w	5645
days	2	w	5649