The treatment of fractures . arriage wheelwhen a child has had its leg caught between thespokes of a revolving wheel. The displacements areusually very characteristic, as shown by the dia-gram subjoined (see Fig. 34). The end of the upperfragment, or diaphysis, projects backward into thepopliteal space and t he epiphysis is tilted forwardSometimes the periosteum and fibrous tissues aboutthe bone at this place are not ruptured, and occasion-ally a thin slice of bone splits off with the pressure of the jagged upper fragment againstthe vessels, which are very close upon the bone at
The treatment of fractures . arriage wheelwhen a child has had its leg caught between thespokes of a revolving wheel. The displacements areusually very characteristic, as shown by the dia-gram subjoined (see Fig. 34). The end of the upperfragment, or diaphysis, projects backward into thepopliteal space and t he epiphysis is tilted forwardSometimes the periosteum and fibrous tissues aboutthe bone at this place are not ruptured, and occasion-ally a thin slice of bone splits off with the pressure of the jagged upper fragment againstthe vessels, which are very close upon the bone atthis place, may produce a thrombus in, or mechanicalclosure of, the vessel, with the result of gangrene ofthe foot, and perhaps a part of the leg, as in the casepublished by Hamilton. 138 The Treatment oe Fkactukes. Injury to the femoral vessels higher up, I have justfound out, by the ends of a fractured femur may alsovery readily occur. I have at present an Italian in the hospital, -^5 years old, who apparently is a strong,. Fig. 33. Photograph showing excessive development of callusafter fracture of the middle of the femur, simulating sarcoma. healthy fellow. He was injured by having a heavystone fall upon him in a quarry, and besides someinconsequential lacerations of the scalp and thigh,had his right femur broken about the middle of theshaft. The usual modification of Bucks extensionapparatus was ajtplied. Twelve hours afterwards thefoot was found mottled, and the toes white and hours afterwards the whole foot and thelower part of the calf were mottled and cold. Therewas no swelling and no mark to show any harmfulconstriction. Upon inquiring carefully into the mat-ter. I found that the fellow is exceedingly emotionaland hysterical; he tore off his dressing, persisted in Fractures oe the Femur. 139 sitting up, and threw himself violently about the bed ;even while on the table when his fracture wasbeing reduced, ho suddenly sprung up and slid theaffected extr
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractures, bookyear19
