A practical treatise on fractures and dislocations . knees thus boundtogether. § 4. Dislocations Upwards and Forwards upon the Pubes. Syn.—Upwards and forwards on the horizontal branch of the share-bone;Chelius. Forwards upon the pubes ; Pirrie. On the body of the pubes, belowthe spine and transverse part of the bone ; Skey. Sur-pubic ; Gerdy. Ilio-pubic; Malgaigne. Causes.—This accident is generally occasioned by a fall upon thefoot when the leg is thrown backwards behind the centre of gravity;as in a fall from the back end of a wagon, the foot being instinctivelythrown backwards in order to
A practical treatise on fractures and dislocations . knees thus boundtogether. § 4. Dislocations Upwards and Forwards upon the Pubes. Syn.—Upwards and forwards on the horizontal branch of the share-bone;Chelius. Forwards upon the pubes ; Pirrie. On the body of the pubes, belowthe spine and transverse part of the bone ; Skey. Sur-pubic ; Gerdy. Ilio-pubic; Malgaigne. Causes.—This accident is generally occasioned by a fall upon thefoot when the leg is thrown backwards behind the centre of gravity;as in a fall from the back end of a wagon, the foot being instinctivelythrown backwards in order to save the head; or it may happen to aperson who, while walking, suddenly puts one foot into a hole, inconsequence of which the pelvis advances, but the leg and upper partof the body incline forcibly backwards. Occasionally it has resultedfrom a fall upon the back of the pelvis, or from a severe blow receivedupon the same part. A patient was admitted under the care of , into St. Marys hospital, Loudon, with a dislocation upon the Fig. Specimen of dislocation upon the pubes, in St. Thomass Hospital. (From Sir A. Cooper.) pubes, occasioned by swimming. His account of it was, that whenin the act of striking out he felt a catch in the right groin whichhe thought was cramp, and that he was able to walk after the accident,but with a good deal of difficulty. The examination proved that hehad a dislocation upon the pubes, which Dr. Ure easily 1 Medical News and Library, vol. xvi. p. 1; from Lond. Lancet, Nov. 7, 1857. UPWARDS AND FORWARDS UPON THE PUBES. 675 Fig. 298. Pathological Anatomy.—Sir Astley Cooper dissected the hip of aperson whose thigh had been dislocated upon the pubes for some time,the true nature of the accident not having been at first acetabulum was partly filled by bone, and partly occupied by thetrochanter major, both of which were much altered in their form. Thecapsular ligament was extensively torn, and the ligamentum teres
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