US1917106A - Clavicle splint - Google Patents

Description

J. J. ETTINGER CLAVICLE SFLINT July 4, 1933.

Filed Aug. 12, 1952 2 Sheets-Sheet l JOE- J. ETTnveEw.

J. J. ETTINGER July 4, 1933.

CLAVICLE SPLINT Filed Aug. 12 1952 2 Sheets-Sheet 2 II'UIIIIIIIIIIII JOE ETTl/VGER. ,W/ M

' a t ins-l Jul 4,; less f which application for patentwas filed byline .on September} 19,1931, Ser. No, 5635846, and

which has since eventuate'dasPatent o "1,880,946, dated October 4, 1932;v a

plates or shields in -s u'ch va device. 5

" ofpoi'nts.selectively. I

H "Eigure l'afront A plete'. I

' shown inFigure' 2Q thelineHdisgu t? I .7 Figure 5 is an enlarged section of a shield .1 or"shou1der p1ate onthe line ,5'-5 of Fig chest'in such a device.

' \Nith'the aboVe'andother objects-in View" as'will be hereinafter apparent, the invention-, consists in general of .cert'ain'novel details of "acters of reference indicate likefp'arts the I Application. filed A gust :12,

This invention relates to" surgica1 app1if ances and has special reference to aclav cle, splint such as is used inthetreatmentof frac tures ofthe human clavicle."

More particularly the invention 'relates"to improvements in thef'clavicle splint for One important object of the invention'is to; provide, improved means for connecting the" shoulder plates across the front of the A second important objectof the invention is to provide fan-improved form of shoulder,-

A third important object of' the invention is to provide a novel construction of such a splint wherein provision 'ismade whereby certain ofthe securing straps" may .be con? necte'd'to the shields at: any one of'a series A fourthiimportant object of the in ention" is to providenovel' means for connect ng the'f strap end and shieldsor shoulder plates.

construction and combinations of'parts hereinafter fully described, illustrated in the ac In the accompanying drawi g l c f severalyiewsandz I 1 I vvlew of thesphnt'come Fi res Is anehle ged dettfi js ce i 'Figure 3 isfa front ele'yatlon'the i etail -s ecti on on Figure 4; is enlarged Figure 6 is a simmer aw a1 e elih' esse of Figure 1. v I r Figure 7- is an enlarged elevation of one of; .s

mnaf A CORPORATION Jess serirn my 638,610; 1

the jshieldsi the lview being em tte ms inner e g h r i'the' es i h p e sibs v ingomitted, 1.'-

=Fi'gure s is a detaili'viewi Showiii'g j fstia l securing member used herewith. f

. "In the, construction "herein d'sclosed there i is ;provideda al;-pair90f shoulder platesiigor;

shields? "10: ."Thes eshields, when viewed;

ing rounded off." v Thus each shield has; a con Fig 2, send 6,- V and at. the sametime there is"afgeneralsp'iral twisting of the plate from Whichth'e ishie1difs formed so that the inner 75' I I edge," which Iies-at itsIoWer end more' fo-rwardl ythan the outer edgeQis extended back over the shoulder "towlie at its upper {end hbove and-gito the rearPof vthe outeredge.v

This vbringsthejupper 'cusp 'portio'n', which 8d I I from in front, present a'; r1ough1y lunate ap? a 7 pearance,; t h'eends or cuspsof the lune be-'* is uconcavewinl-all' directions OHIOP-Ofliihg the shields are provided with the, usual pads or cushions 15 offe1tor other suitable ma 1 teriaL g i 1'. vSonievizhat' belowf-andiinwardiy from the vmiddle of each; shieldis a'piVotstud16 where;- on is mountedahinge plate 17having'2thing barrel 18'atits-inner end-and provided with i an 'arc11'a te',s1ot l9'concentricto the" stud 16 conipanying drawings and "specifically: front portion or the shoulder jointso that; I ff claimed. When secured by'the straps and tie"'bars5 as will 'y' b described, thea shofilder no a 1 above noted, I The posterior surfaces 0f" V and-adj acent itsfouter' end; ul olt 20 -10 is carried by the shield 10 and extends through the slot 19, being provided on its forward end with a butterfly nut 21. By this means the shield is permitted to swing slightly on the pivot 16 and, when adjusted to desired position, is there held by tightening the nut 21. A pintle 22 is held in each barrel 18 and carries the arms of the forked end 23 of a chest bar or tie bar 24: arcuate in plan to conform to and lie in closely spaced relation from the chest of the patient. The two chest bars are arranged one in front of the other and each is provided with a longitudinal slot 25. A clamp bolt 26 is carried by the free end of each bar and extends through the slot of the other bar, being provided on its threaded end with a butterfly nut 2?. *With the nuts 27 loose, the bars may be slid, one on'the other, to adjust the distance between the shields and when adjusted the nuts may be tightened to hold the parts in desired position, The hinges serve to permit the shields to conform to the flatnose or rotundity of the patients chest.

In order to hold the lower ends of the shields pressed firmly against the chest there is provided back strap consisting of two sections 28 which are adj ustably connected at their inner ends by a buckle 29 of any preferred type. The free end of each of the sections 28 carries a loop 30 from which projects a tongue 31 having a terminal portion 32 oll'set rearwardly of the portion adjacent the loop. In the lower part of each shield is a series of laterally spaced rows of vertically spacedholes 33 adapted to receive the respective tongue which is inserted through the selected hole 33 from the front so that the offset portion 32 lies against'the posterior surface of the shield as well shown in Fig. 4. By this means the back strap may be'connected to the shields at such points as will prevent the strap sections from cutting into the, aXillae while ensuing that the connection is high enough to prevent the shields from moving upwardly out of proper positions. Moreover, the spacing of the rows permits of additional adjustment of the strap for length and of putting a pulling stress on the shields at such points in their widths as to obtain the best effect in the particular case under treatment.

Diagonal cross or shoulder straps 34 each have one end suitably fixed, as by sewing, to a respective strap section 28 near one of the shields and extend diagonally across the patients back to the upper part of the remaining shield where it is secured by a buckle 35 fixed to the upper rear end of that shield. These strapsserve to pull the upper parts of the shields rearwardly and to hold them down on the points of the shoulders.

By reason of the novel arrangement of the arcuatetie bars outer clothing may be worn Also the peculiar shape of the splint with its spiral twist and cupped upper part, together with the novel strap arrangement, enables rearward abduction to be exerted on the shoulder joint in such manner as to hold the segments of a fractured clavicle properly aligned with slight discrnnfort to the patient and no unnecessary immobilization of the upper arm.

There has thus been provided. a simple and el'licient device of the kind described and for the purpose specified.

It is obvious that minor changes may be made in the form and construction of the in vent-i on without departing from the material spirithereof. lit isnct, therefore, desired to conline the invention to the exact form herein shown and described,but it is desired to include all such as properly come within the scope claimed.

Having thus described the invention, what is claimed as new, is i l. in a clavicle splint, a pair of rigid plates shaped to conform to the front and shoulder joint part of the shoulder region of a human body, a back strap, coacting means on the ends of said strap and the lower parts of said plates for connecting said ends to a selected point of a multiplicity of connection points on said lower parts, buckles each fixed to the upper end of a respective plate, a pair of shoulder straps arranged in. crossed relation and each having one end secured to the back strap adjacent a respective plate and having its other end securgd tothe buckle of the other pl ate, hinge plates each pivotally mounted on the front face of one of said ri 'id plates means to secure the hinged plates in adjust-ed pivotal positions on said rigid plat and rigid conne .ng i'l'leans hr-iving its ends hinged respectively to the hinge plates.

2. in a clavicle splint, a pair of rigid plates shaped to conform to the front and shoulder oint part of the shoulder-region of a human body, a back strap, coacting means on the ends of said strap and the lower parts of said plates for connecting said ends to a selected point of a multiplicity of connection points on said lower parts, buckles eachtixed to the'upper end of a respective plate, a pair of shoulder straps arranged in crossedv relation and each having one end secured to the back strap adjacent a respective plate and having its other end secured to the buckle of the other plate, hinge plates each pivotally mounted on the front face of'one of said rigid plates to swing about an axis normal to the plate, means to secure the hinged plates in adjusted pivotal positions on said rigid plates, rigid. connectingmeans having its ends hinged respectively to the hinge plates, the axes of the hinge connections being substantially-at right angles to the pivotal axes of the respective hinge plate, said rigid connecting means including a pair of v: tionpo ints for the plates consistingjef heri 1, lzonta llyspaeed pews ofzvertically spaced c011 snecition elements, buckles5,ea ehfixed toth'e' bars slidablyoverlappin'g'eebh qtheiattheir ends and each"having itgfofltef-endhinged to a respective hinge plate sja'id; bstrs11-being i [flatly arched to eonfprln to andlie in cl'oselyff lei spaced relation to a human chest and clamp bolts'securing saidhars in'slidably adjusted v e H H a '-ieoactin l leens' htlie ends'QfPSQid p nd r a plurality ff -connectibn pc'iint s. on the ldwf Ina elayile'splintge pair of rigidplates shepedto conform to the frontand sh nlder. jjoi'nt'part ofthelshotxlder regienofathe' hlt- L I I points,'. a ipair of-sho'ulder] straps Connecting" 7 man. body, a backstrap, eoacting meansjon the ends of saidgstfzipfiand the ilowerparts j of said plates' ffofr "connecting said ends; to a selected point ofja nultiplieity f 'con'nection' points 011 said'lew'e'i' parts' the cOnnejc-.

upper-' end *of -a respectivefp1ate, .alipair of and each haVingbne-end secured to the back strap adjacent a respective-plate and hajv ing its other end} secured to thebu'ckle of the 0thto swing aboutgan exisnormalito, the plate, -Ineans to secure the "hinged plates .inedijn stedpivotalzpositions on said." rigidiplates;

and'ri'gid connecting-imeans,having its ends; ,"0 hinged respectively Qt O tliG, hingenpl atesl, the

axesfof the-hinge eonnectiensbeing' substan-j tia'l-ly. at rightanglesto thepivotal axes ofy theresp'ectiv'e hinge plates, said rigideon necti'ng means being'jfztcljustable ion-length.

and; being provided with; means fer holding it in" length adjusted 'fpositionif concave outer edge,,aconvexlinner edgejan'd 'ld 'v'vei jpaft thereof .,s the ra er part of 3 the lateima'y lie on" top I swing bn l axesjpitelle ytolp rm s id t a shoulder straps a r nged. in crossed relation er plate,hi nge platesjeageh;pivotally mounted; Stient, 'hinge p1 a;tes;feaeh mounted .pitotallyj If... 'on the-front faee'e'fpne of said rigid plates on, said hingeplates at its'ends M .an I axisfnei m'al tb the plate; means ,tofholifi 5 Jseid hingeplates; in piivbtially, 'stdjlistedl po i; 1 V, -tion rigid-"extensible connectingQmeanSpiW 9 4-. In a; clavicle splint; a pair of 'rigidplttes. jeachlbluntly lunate i'nqfdrm and havinga inecting means-1being1 flatlyerehedthrough-T rounded ends, the p osterier sn rf'faces' of;'sia,idnecting means in adjusted-extension. if plates being generally cengv-exmd the' pep- *T'part ofe'sieh plate being-spirally twisted'with -'the lower pert'Lo f/{the plete being pjositiqnd to vpress egainst' the lateral chest portion of tive plate to swing ebo'utan axis ndlfnlalgtd' aid plates", means tqyheld setid ,hilige plateg I t"beadjustedifp length; 1 and'mea'nslxt hold the ban inl'e'n'g'th'adjusted i position; Y e iQ {Inla claviclesplingflpair of shoulder pIatesfOr' engaging thesh'ouldefs 6f mpg- 7 1 l on arespeeti iieshdulderplateite swin 'stbo t P0 7 an axis normal -tq,theplate; means; to hold said'hinge plates in;j p'ivotally'iadjnstedposii ;-andrigid" cenneeting means pivoted to;

" 6; 3 Infa clavijelefsplint, 5 a pair 0 shellilid'ef plates; for engaging "the sheuldersiefji pa;-

. tien't, hingev plates each mqunted pivotally on arespeetive shoulder plate t'o'zswing boflt oted to said hingeplateset its {anaemia conbut "its length, end m'eans-td held. the;v ,eQn-

Images