. A practical treatise on fractures and dislocations. incomplete fracture of theneck of the femur. (Konig.) (b) Separation of the epiphysis has been demonstrated by specimenin a few cases and suspected in a number in which fracture of the neckhas occurred in the young, but there is reason to believe that it is rarereven than fracture at the corresponding age. The conjugal cartilageimmediately adjoins the head, and bony union takes place between theseventeenth and twenty-first years. The first case verified by directexamination was reported by The patient was fifteen yearsold, and wa
. A practical treatise on fractures and dislocations. incomplete fracture of theneck of the femur. (Konig.) (b) Separation of the epiphysis has been demonstrated by specimenin a few cases and suspected in a number in which fracture of the neckhas occurred in the young, but there is reason to believe that it is rarereven than fracture at the corresponding age. The conjugal cartilageimmediately adjoins the head, and bony union takes place between theseventeenth and twenty-first years. The first case verified by directexamination was reported by The patient was fifteen yearsold, and was run over by a wagon. The symptoms were shortening,eversion, and inability to move the limb. The patient died in a fewhours. The separation was complete along the epiphyseal line, andthe head was attached to the neck only by a strip of periosteum two 1 Mayor : Gazette Medicate. 1834, p. 612. 2 Stanley: Medico-Chirurgical Transactions. 1825. vol. xiii. p. 511. 3 Bousseau: Bulletins de la Societe Anatornique, 1867. p. 283. 21 322 FRACTURES. Fig. millimetres wide. The periosteum was stripped up on the inner andlower part of the neck, and the capsule was torn at its inner portion. Kocherl reports two. The first is thatof a girl sixteen years old, who fell whilewalking and struck upon her right tro-chanter. On the theory that if the in-jury, as supposed, was a fracture throughthe neck (or separation of the epiphysis)repair was impossible, an operation wasdone three weeks later for the removal ofthe upper fragment. A fracture, hiddenby the untorn periosteum, was found alongthe epiphyseal line, with penetration ofthe posterior part of the neck into thehead; the latter was removed; recoverywith anchylosis. The second case was that of a girl,who, when ten years old, fell from aheight; she rose and walked a short dis-tance, was then unable to use the limbbecause of pain, and was taken to a hos-pital. After apparent recovery shewalked with a limp which increased astime passed. Four
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