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. Atlas and epitome of traumatic . tip*. FRACTURES OF THE LOWER EXTREMITY. 333 Isolated fractures of one malleolus are relatively com-mon, while isolated supramalleolar fractures are rare. Examination sometimes fails to yield positive results,but the pain elicited by abduction or adduction of the foot,or by pressure, or by a blow, will at least suggest the pres-ence of a fissure. Doubtful cases must be treated as iffracture were present. The treatment should follow thegeneral principles laid down for the treatment of fracturesof the ankle. 6. ASTRAGALO=CRURAL ARTICULATION Movements of the foot
. Atlas and epitome of traumatic . tip*. FRACTURES OF THE LOWER EXTREMITY. 333 Isolated fractures of one malleolus are relatively com-mon, while isolated supramalleolar fractures are rare. Examination sometimes fails to yield positive results,but the pain elicited by abduction or adduction of the foot,or by pressure, or by a blow, will at least suggest the pres-ence of a fissure. Doubtful cases must be treated as iffracture were present. The treatment should follow thegeneral principles laid down for the treatment of fracturesof the ankle. 6. ASTRAGALO=CRURAL ARTICULATION Movements of the foot include flexion and extension atthe astragalo-crural articulation, and pronation and supi-nation at the astragalo-tarsal articulation. In pronationand supination the full connection between the astragalusand the bones of the leg is maintained, the movementsaffecting only the articular connections between the astrag-alus and the os calcis and those between the talus [astrag-alus] and the os naviculare [scaphoid]. AVhen external violence
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