. Modern surgery, general and operative. Fig. 422.—Fracture of the patella. Fig. 423.—Sensemans case of fratiurr of lowerepiphysis of the femur in a boy seven years ofage. Symptoms and Treatment.—The symptoms of longitudinal fracture are oftenobscure. The femur is broadened when the knee is flexed. The split may bedetected between the condyles. The treatment is the straight position in plasterfor eight weeks. Transverse Fracture of the Patella 687 Separation of the lower epiphysis occurs only before the twenty-first is not a very rare accident in children. The symptoms in separation of
. Modern surgery, general and operative. Fig. 422.—Fracture of the patella. Fig. 423.—Sensemans case of fratiurr of lowerepiphysis of the femur in a boy seven years ofage. Symptoms and Treatment.—The symptoms of longitudinal fracture are oftenobscure. The femur is broadened when the knee is flexed. The split may bedetected between the condyles. The treatment is the straight position in plasterfor eight weeks. Transverse Fracture of the Patella 687 Separation of the lower epiphysis occurs only before the twenty-first is not a very rare accident in children. The symptoms in separation of the lower epiphysis are like those of transversefracture, but crepitus is moist. The lower fragment is tilted, so that thearticular surface looks forward. The lower end of the upper fragment projectsinto the popliteal space. There is danger to the structures in the poplitealspace. The growth of bone may be stunted. Feel for the pulse in the leg orfoot. Treatment.—Reduction may be effected in some cases by horizontal ex-tension.
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