Fractures of the Humerus. 83 



left scapula and the upper end of a humerus, with the muscles 

 dissected off and the capsule laid open, so as to expose the 

 joint from the front — in spirit — showing the above injury. 



The patient, Mary Kidd, set. 55, fell down some stone steps on 

 Saturday night, December 29, 1827. When admitted to the Royal 

 Infirmary, Edinburgh, on January 2, 1828, the following report was 

 made : — ' ' The whole of the left upper extremity is ecchymosed and much 

 swollen ; there is a distinct crepitus near the upper end of the humerus, 

 and during the rotation of the bone the head remains motionless, the 

 lower end of the bone is drawn in towards the chest, pulse 100 and feeble, 

 belly costive, tongue furred, the pain at the upper part of the limb has 

 been constantly upon the increase." 



On the 4th of January the patient was observed to be labouring 

 under the symptoms of delirium tremens ; she had been constantly 

 talking during the preceding night, and did not answer questions ration- 

 ally ; had much tremor of the hands, pulse 90, skin cool, tongue moist. 



These sj'mptoms continued with considerable variation and with 

 occasional intermissions until about the 18th, when a considerable slough 

 was observed on the sacrum and right buttock. This increased pro- 

 gressively notwithstanding the use of every means to protect the parts 

 from pressure, and she expired on the 28th January. 



The head of the bone has been separated along nearly the 

 line of the anatomical neck, and the tuberosities and upper 

 part of the shaft have been severely comminuted. This has 

 probably been the result of a blow directly upon the shoulder. 



G. C. 1100. 

 Presented by Sir George Ballingaij.. 



3. 105. Recent Fpactupe through the Anatomical Neck 

 with Comminution of the Tuberosities.— Upper end of 



a left humerus, with the muscles dissected off — in spirit — 



showing the above injury. 



The head is separated by a fracture following the line of 



the anatomical neck, and the greater tuberosity is comminuted. 



This also has probably been the result of a blow directly upon 



the shoulder. G. C. 2657. 



Fraented by Dr Watson. 



3. 106. Fracture through the Anatomical Neck and 

 greater Tuberosity. — Head and tuberosities of a right 



