. Essentials of surgery; a textbook of surgery for student and graduate nurses and for those interested in the care of the sick . t-M. Fig. 14.—Showing fracture of the neck of the femur. metacarpals and phalanges are often overlooked without X-rayexamination, being of the green-stick variety. Pelvis and Lower Extremity.—Fractures of the pelvis resultfrom crushing injury, or rarely, difficult obstetrical usually occur lateral to the S3rmphyses pubes and themost common associated injury is laceration of the bladder orurethra, with extravasation of urine into the tissues. Thereis mo
. Essentials of surgery; a textbook of surgery for student and graduate nurses and for those interested in the care of the sick . t-M. Fig. 14.—Showing fracture of the neck of the femur. metacarpals and phalanges are often overlooked without X-rayexamination, being of the green-stick variety. Pelvis and Lower Extremity.—Fractures of the pelvis resultfrom crushing injury, or rarely, difficult obstetrical usually occur lateral to the S3rmphyses pubes and themost common associated injury is laceration of the bladder orurethra, with extravasation of urine into the tissues. Thereis mobility of fragments and severe pain in walking or of fragments is secured by tight bandage or open BONES AND ARTICULATIONS 87 operation. Repair of associated injury may present the mosturgent indication. Femur.—Fracture of the neck occurs most often during adulthfe or advanced age (Fig. 14). Reduction and immobilizationin apposition is difficult, open operation being occasionallynecessary. There is danger of non-union and permanent disa-bility. Prolonged inmiobilization in a special cast or apparatus, KAL
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