A system of surgery . cetabulum mayeven be felt. This is a symptom of great value. The fold of thebuttock, on posterior inspection, is seen to be raised. There is con-siderable fixation of the limb, which can only be slightly flexed,adducted, and rotated inwards. Moderate traction fails to draw thelimb down to its proper length, a valuable differential diagnostic signfrom fracture. Under anaesthesia, the head of the bone may be feltin the buttock. Treatment.—This should be undertaken as soon as patient, being laid perfectly flat on a hard mattress, isdeeply anaesthetised with ethe
A system of surgery . cetabulum mayeven be felt. This is a symptom of great value. The fold of thebuttock, on posterior inspection, is seen to be raised. There is con-siderable fixation of the limb, which can only be slightly flexed,adducted, and rotated inwards. Moderate traction fails to draw thelimb down to its proper length, a valuable differential diagnostic signfrom fracture. Under anaesthesia, the head of the bone may be feltin the buttock. Treatment.—This should be undertaken as soon as patient, being laid perfectly flat on a hard mattress, isdeeply anaesthetised with ether. The surgeon flexes the leg on thethigh to relax the hamstrings and great sciatic nerve. Continuingflexion, he bends the thigh on the pelvis until resistance isencountered. As the thigh is bent up it is carried towards thepubes in slight adduction. This manipulation relaxes the untornpart of the capsule or ilio-femoral ligament, the tension of whichproduces inversion. The thigh is now abducted to bring the head of. Fig. 403.—Dorsal Dislocation of theHip. (After Pick.) 948 DISLOCATIONS. the bone forwards, and to enlarge the rent in the capsule. It is nextwell rotated outwards ; this relaxes any of the tense untorn rotators,
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Keywords: ., bookcentury1800, booksub, booksubjectsurgicalproceduresoperative
