A practical treatise on fractures and dislocations . neck. I have also myself reported one example of this fracture as havingcome under my own observation,3 but of which I wish now to speaksomewhat less confidently. The patient, James Redwick, a travellingshowman, set. 23, fell, in August, 1848, from a high wagon, strikingupon his left hip. When he got upon his feet, he found himself un-able to walk, and was carried to his room. Dr. Wilcox, of Buffalo,was called to see him, and applied a long straight splint. Fourteendays after the accident I saw the patient with Dr. Wilcox. The thighwas not a
A practical treatise on fractures and dislocations . neck. I have also myself reported one example of this fracture as havingcome under my own observation,3 but of which I wish now to speaksomewhat less confidently. The patient, James Redwick, a travellingshowman, set. 23, fell, in August, 1848, from a high wagon, strikingupon his left hip. When he got upon his feet, he found himself un-able to walk, and was carried to his room. Dr. Wilcox, of Buffalo,was called to see him, and applied a long straight splint. Fourteendays after the accident I saw the patient with Dr. Wilcox. The thighwas not appreciably shortened, nor was there either eversion or inver-sion ; but the epiphysis of the trochanter major was carried upwardstoward the crest of the ilium half an inch, and slightly sent in. Nocrepitus could be detected. The splint was continued five weeks ; andabout a month after, I found the fragment in the same place, but hewas able to walk with only a slight halt. I think this also may have been an extra-capsular impacted fracture. Sir Astley Coopers mode of treating fractures of the trochanter major. (From A. Cooper.) With the small amount of positive information which we possess inrelation to this fracture, we might venture a few conjectures as to whatwould constitute its symptoms, or as to the probable results and themost suitable treatment; but we prefer to occupy ourselves with a 1 Clarke, Amer. Journ. Med. Sci., Nov. 1836, vol. ix. p. 181. 2 B. Cooper, A. Cooper on Dislocations, &c, op. cit.,p. 192. 3 Hamilton, Trans. Amer. Med. Assoc, op. cit., vol. x. p. 254. 386 FKACTUKES OF THE FEMUR. simple statement of the facts, so far as they are known, leaving allmere speculative inferences to those who choose to make them. § 4. Fractures op the Shaft of the Femur. Etiology.—Unless the fracture has taken place just above the con-dyles, or immediately below the trochanter minor, in a very largeproportion of cases it has been produced by a direct blow, such ast
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