The Wilmington morning star., 1946-12-04
The Doctor Says
DO NOT DISTURB
SHOULDER INJURY
BY WILLIAM A. O. RRrEN -,

BY WILLIAM A. O. BRIFN
Dislocation Of tibet shouIdau D.
suits from the arms being
outward and upward llS4i IOFced
head of the bone leaves The so,1 "a.
and rests below. behind su'Re'
front of the joint. IN
A. shoulder d~islocation !, j.,
Gated by the way in wbio, 'aal'
victim holds his arm and W. me
existence of a vacancy wbors ne
head Of the bone NATURALLY 81, ne
be. Dislocations are produces s.Oq ID
falls, unusual twisting m. ="
and strong muscular eyert i,ui0A'
A dislocated shoulder is
tremely painful. The patient r ss'
ally holds the hand on the inir nsa,
side to support the forearm ka0a
ing the arm close to his bo GTep'
Flrst-aiders should n o %atter,.,
to reduce a dislocated sbonld.pp'
Unskilled efforts m ay fl,rtsa..
damage torn ligameats. '''
While it is possible 10 get a di,.
located shoulder back into n1 as,
without giving an anesthetic ', n,I'
ally it is not wise to do O. 0SN'
The patient is placed fIst
back on a firm surface. and a. n rs
physician holds the elbow on s g'
affected side with one hand W., ns
the wrist with the other. The a ura
is pulled downward as the wri,
and forearm are moved sIorla
outward. No attempt at forco
made, because of the danger =,
further tearing the ligaments ,ra
muscles. a'u
While the upper arm is haIs :,
this position, the elbow is bror,. ~
around to the front Of the chez,
and held there as the affectsd
hand and forearm are SWIM,
across the body, to permit ts
hand to rest upon the opnosit.
shoulder. At this point the bo,.
slips back into position unless ts
head is caught in the torn Ig,,
ments.
When this method fails. il.
shoeless foot of the surgeon
placed in the armpit, TO assist /,
getting the head of The bone bac,
in place.
After the shoulder dislocstjm
has been reduced, a large pad i,
placed n the armpit and the arm
is bandaged at the side Of tp
body, leaving the hand free. Thu
hand and fingers are moved from
time to time. to keep the muscle;
from becoming stiff.
1t may be necessary to keen III.
arm in this position for some
time. When the arm is moved
caution should be observed. ID
keep the head of the bone from
slipping.
Any activity which requires sud
den upward reaching of the arm
Or the use of the arm over The
head may cause difficulties until
the structures are finally healed
Shoulder dislocations have a ten.
dency to, recur, due to weakening
and stretching of the joint cap. |
sule. An operation on the joint 10
keep the head of the bone in place
is advisable In such cases.
A fracture complicating a dis
located shoulder is a difficult in
jury to treat. 1t is often necessary
to insert a pin to hold the trae
lures together.
QUESTION: I have heard Of The
use of radioactive iodine in The
treatment of goiter. My physician
informs me that my heart is too :
weak for surgery. Would The 10
dine treatment help me?
ANSWER: Your physician may
facilitate an answer to your CUES
ton by referring you to a hospita
or medical center where RADIO
active iodine can be obtained
Only limited quantities have been
made available as yet. The treat
ment attacks the goiter by re
leasing rays in the thyroid gland