68 Injuries of Bone. 



effort of breathing, was uniformly soft and full, drawn in by the elevation 

 of the ribs, and protruded when they fell again. 



" He could yawn, but could not cough nor otherwise strongly expire 

 except by the weight of his thorax. 



' ' During inspiration the serratus magnus and lower part of the 

 trapezius could be felt in action. 



"He could raise his shoulders, rotate his humerus, and flex his 

 fore-arms, but had no power over his hands. The skin of his ' arms ' 

 was sensitive to the prick of a pin. 



' ' He died on the night of the seventh day from the accident. " (Case 

 of Charles Osborne in Bell's " Exposition of the Nervous System," p. 225.) 

 The bodies of the fifth and sixth cervical vertebrae have 

 been crushed. The lamina of the fourth vertebra has been 

 broken, and those of the fifth and sixth have been comminuted 

 on the left side. 



The movements of the arms described indicate the escape 

 of the fifth cervical nerves from injury. B. C. 1. 4. M. 4. 



3. 72. Dislocation of the fifth and sixth Cervical Vertebrae. 



— Lower six cervical vertebrae, with the muscles cleaned off — 

 in spirit, showing the above (without apparent fracture). 



The ligaments are torn through between the laminae and 

 spinous processes, but at the body some have been left. 



B. C. 1. 4. M. 5. 



3. 73. Dislocation of the fifth and sixth Cervical Verte- 

 brae, followed by Suppuration within the Canal. — 



Lower six cervical vertebra^, with the muscles cleaned off 

 — in spirit — showing the above dislocation. 



' ' Marshall, a coal waggoner, was riding on the shaft of his cart, 

 when by a sudden jerk he was thrown off, and pitched on the back of his 

 neck and shoulders. There was a swelling and discolouration between 

 his shoulders. Although he could not stand, yet he could drag his legs 

 after him, when he was supported to his bed. For nearly a week he lay 

 complaining of nothing, and had no symptoms of paralysis. He could 

 throw his arms and legs about, and retain his faeces and urine, and expel 

 them naturally. On the eighth day, he was suddenly seized with con- 

 vulsions over the whole body. After having been bled, he remained 



