. A practical treatise on fractures and dislocations. Totts fracture with wide displacement. 446 FRACTURES. extreme, even without fracture of the fibula. (See Outward Disloca-tion of the Foot.) And, also exceptionally, unusual lines of fracture ofthe tibia may be found, such as a long one running up from the artic-ular surface and separating a fragment consisting of the outer portionof the bone, or a breaking oif of the posterior portion of the articularsurface (see section F); in both of these the weight of the body mUstbe an important causative factor. Fig. 324. Fig. i Potts fracture;
. A practical treatise on fractures and dislocations. Totts fracture with wide displacement. 446 FRACTURES. extreme, even without fracture of the fibula. (See Outward Disloca-tion of the Foot.) And, also exceptionally, unusual lines of fracture ofthe tibia may be found, such as a long one running up from the artic-ular surface and separating a fragment consisting of the outer portionof the bone, or a breaking oif of the posterior portion of the articularsurface (see section F); in both of these the weight of the body mUstbe an important causative factor. Fig. 324. Fig. i Potts fracture; method of recognizing abnormal lateral mobility. Two complications which may appear in the first variety were, sofar as I know, first observed and reported by me; ^ I have seen twocases of each. One is the rotation of the internal malleolus about anantero-posterior axis so that its fractured surface lies parallel to andjust beneath the skin, the fragment being exceptionally prominent and 1 Stimson: Transactions of the New York Silrgical Society, in New York Medical Jour-nal, January 26. 1889, p. 108, and Potts Fracture, New York Medical Journal. June i FRACTURES OF THE BONES OF THE LEG. 447 movable. The other is the interposition between the malleolus and thetibia of a large strip of periosteum torn from the tibia; in this condi-tion also the malleolus is exceptionally prominent and movable. Inall my four cases the fracture was exposed and readjustment madethrough an incision ; recovery followed with full restoration of function. A third case of the first fo
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectfractur, bookyear1912
