. A practical treatise on fractures and dislocations. cture, and that thus may be grad-ually produced a deformityFig. 196. clinically identical with that following fracture. I havegiven elsewhere 1 reasons fordeeming this theory incorrectand for believing all such al-leged cases to be those of un-recognized fracture. Other specimens, and theyare numerous, show an abun-dant production all about thetrochanter and upper end ofthe shaft. In part this en-largement is due to splittingand displacement of the frag-ments, but the greater part ofit is new bone produced sub-periosteally, or, more prob-ab
. A practical treatise on fractures and dislocations. cture, and that thus may be grad-ually produced a deformityFig. 196. clinically identical with that following fracture. I havegiven elsewhere 1 reasons fordeeming this theory incorrectand for believing all such al-leged cases to be those of un-recognized fracture. Other specimens, and theyare numerous, show an abun-dant production all about thetrochanter and upper end ofthe shaft. In part this en-largement is due to splittingand displacement of the frag-ments, but the greater part ofit is new bone produced sub-periosteally, or, more prob-ably, by ossification of theattached fibrous and tendi-nous tissues. This is espe-cially common at the back,along the intertrochantericline. Sometimes these massesso embrace the end of the ununited upper fragment (neck) that the patient can walk well without the aid of cane or crutch (Fig. 197). xStimsou: Doubtful Fractures of the Neck of the Femur and their Identity with anAlleged Form of Arthritis Deformans, New York Medical Journal, April 14, Fracture with absorption of the neck. FRAVTITRRS OF THE FEMUR. .,.,1 The cavity of the joint is sometimes diminished by an adhesive syno-vitis which, aided by peri-articular thickening and retraction and by tit;above-mentioned osteophytic growths, greatly restricts its mobility. Occasionally the limb, after either form of fracture, remains useless,and much pain is felt, especially if union has failed ; ami there are afew recorded cases in which suppuration has occurred within or withoutthe joint. The degree of probability of bony union after fracture through theneck could be determined only by the statistics of a scries of continuous Fio. 197.
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