A practical and systematic treatise on fractures and dislocations . e Hoor. Theluxation has also been known to occur whilea person was entering a carriage, one footbeing on the ground, and the other on thestep of the vehicle, just as the horses sud-thl^l^^ordfo™^^^^ started. In fact, any accident by which the thighs become suddenly and vio-lently separated from each other, may produce the dislocationof one or both femurs into the thj^roid foramen. In most ofthe instances reported the displacement has been caused bythe fall of heavy weights upon the hips, crushing the individ-ual to the earth,
A practical and systematic treatise on fractures and dislocations . e Hoor. Theluxation has also been known to occur whilea person was entering a carriage, one footbeing on the ground, and the other on thestep of the vehicle, just as the horses sud-thl^l^^ordfo™^^^^ started. In fact, any accident by which the thighs become suddenly and vio-lently separated from each other, may produce the dislocationof one or both femurs into the thj^roid foramen. In most ofthe instances reported the displacement has been caused bythe fall of heavy weights upon the hips, crushing the individ-ual to the earth, one or both thighs being forced leverage of the shaft of the femur, under such circum-stances, brings the head of the femur to the lower segment ofthe socket, ruptures the capsular ligament at that point, andforces the bone through this rent, down into the foramenovale. Symptoms.—The limb is held rigid, and takes a position inadvance of the other ; it is lengthened to the extent of abouttwo inches; and the foot is not turned either inward or out-. 378 Dislocations. ward ; tlie trocliauter major is less promiueut than natural,the body is bent forwards and inclines to the injured side bythe tension of the muscles. The limb can be abducted, butcan not be made to approach the other without exciting in-tense pain and numbness. H^o form of fracture produces thesesymptoms. Treatment.—No pulleys or kindred appliances are requiredto effect reduction. The patient is to be placed on the soundside, and then the surgeon grasps the foot and knee much ashe would in attempting a reduction with the head of the boneon the dorsum ilii; he flexes the leg on the thigh, and carriesthe limb into a position of extreme abduction, or to the pointit was made to assume \vhen the dislocation occurred. Onehand now clasps the knee, and forces it into extreme abduc-tion, while the other hand placed on the inside of the thighnear the body, pulls the head of the bone upwards and out-wards, in
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1870
