. A practical treatise on fractures and dislocations . aron Larrey has reported a case of dislocation before the hori-zontal portion of the pubes, which he reduced by suddenly raisingwith his shoulder the lower extremity of the femur, while with bothhands he depressed the head of the This is the same of whichwe have already spoken as being attended with the unusual pheno-menon of the thigh placed at a right angle with the body. If reduction is attempted by extension, the patient ought to be laidon his back upon a table, with the dislocated limb falling off slightlyfrom its side. The ext
. A practical treatise on fractures and dislocations . aron Larrey has reported a case of dislocation before the hori-zontal portion of the pubes, which he reduced by suddenly raisingwith his shoulder the lower extremity of the femur, while with bothhands he depressed the head of the This is the same of whichwe have already spoken as being attended with the unusual pheno-menon of the thigh placed at a right angle with the body. If reduction is attempted by extension, the patient ought to be laidon his back upon a table, with the dislocated limb falling off slightlyfrom its side. The extending band, made fast above the knee, shouldthen be secured to a staple in the line of the axis of the dislocatedthigh, and of course, below the table; while the counter-extendingband, crossing under the perineum, should be made fast in the sameline, above the level of the table, and beyond the head of the patient. When extension is commenced, and the head of the femur hasbegun to move, the reduction may sometimes be facilitated by lifting Fig. Reduction of dislocation upon the pubes, by extension. the upper part of the thigh with a jack towel or a band passed underthe thigh and over the neck of the surgeon, as we have recommendedin both of the backward dislocations. 1 Larrey, Lond. Rev., Dec. 1820, p. 500; vol. i. first ser.,froin Bullet, dela Fac. de Med., No. 1. 42 658 DISLOCATIONS OF THE THIGH. § 5. Anomalous Dislocations, or Dislocations which do not properlybelong to either of the four principal divisions before 1. Dislocations directly — Sus-Cotyloidiennes ; Malgaigne. Sixth dislocation ; Mutter. Malgaigne affirms that the head, in this dislocation, is situatedexternal to the anterior inferior spinous process, and about one inchbelow the anterior superior spinous process. But this position is notuniform. It may be found in front of the inferior process or aboveas well as behind, or external to it. The symptoms which characteri
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