OPERATIVE TREATMENT OF IRREDUCIBLE DISLOCATIONS OF THE SHOULDER JOINT, RECENT OR OLD, SIMPLE OR COMPLICATED.

Abstract

<h3>25. Irreducibile dislocations, old, spontaneous, or pathologic.</h3> —No case similar to such cases of the coxofemoral articulation has been found on record. 26.<i>Irreducible dislocations, old and paralytic</i>, are irreducible simply because they can not be kept reduced, although they are readily replaced in the socket, because the muscles have lost their power through paralysis of their nervous supyly from peripheral or central causes. The peculiar joint diseases described by Charcot, specially in connection with locomotor ataxia, are also cases in point. The treatment should be directed to the cause. In irreducible old dislocations from paralysis of the deltoid, expose articular surfaces, pare them and let them become anchylosed. The following is a case in point: Julius Wolff, 1886.¹⁰⁸Irreducible dislocation, old, downward (paralytic), posterior incision, reduction, stitching of head to glenoid cavity, result, improved. Male, aged 5 years.<i>Diagnosis:</i>This was a perpendicular luxation of the shoulder, downward,