A practical treatise on fractures and dislocations . y timbers, and on the following day, May 7, 1852,he was brought to the hospital. No crepitus could be detected, but he was unable to lie upon theright side, and the right limb was nearly paralyzed. It was evidentthat the bladder or urethra had been ruptured, and on the third dayDr. Clark opened the bladder through the perineum, evacuating a largeamount of blood and urine, and affording to the patient very sensiblerelief. On the 1st of June, however, he died, having survived theaccident twenty-five days. The autopsy disclosed several fracture


A practical treatise on fractures and dislocations . y timbers, and on the following day, May 7, 1852,he was brought to the hospital. No crepitus could be detected, but he was unable to lie upon theright side, and the right limb was nearly paralyzed. It was evidentthat the bladder or urethra had been ruptured, and on the third dayDr. Clark opened the bladder through the perineum, evacuating a largeamount of blood and urine, and affording to the patient very sensiblerelief. On the 1st of June, however, he died, having survived theaccident twenty-five days. The autopsy disclosed several fractures, all of which belonged tothe right os innominatum. First, a fracture of the pubes near thesymphysis ; second, a fracture near the junction of the pubes and ilium ;third, a fracture through the ramus of the ischium anterior to the Sir Astley mentions a case (Case 83) of fracture of the ramus of the 1 Sir Astley Cooper, Frac. and Disloc., Amer. ed., p. 144. 2 Clark, Boston Med. and Surg. Journ., vol. liii, p. 185. PUBES. 353 Fig. Clarks case of fracture of the pelvis. pubes, unaccompanied with injury to the bladder or urethra, which re-sulted in a complete recovery; and in another case (Case 84) the patientrecovered in eight weeks, and wasable to walk nearly as well as before;but he soon after died of disease ofthe chest. The os pubis was found,at the. autopsy, to have been brokenin three places; there was also afracture extending in two directionsthrough the acetabulum, with anextensive comminuted fracture ofthe ilium, accompanied with greatdisplacement. Marat has even found it neces-sary, after a fracture, to removenearly the whole of the body of thepubes by incision, in a girl of 18years, and who not only recoveredcompletely, but having subsequentlymarried, she gave birth to two chil-dren in easy and natural Cappelletti relates that a man, set. 54, jumped from a carriage, thehorses having run away, and alighted with his feet to the ground, butwit


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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875