A practical treatise on fractures and dislocations . moistened with cool waterwere kept constantly applied to the knee for manydays. Very little swelling followed the accident,and his recovery was rapid and complete. A man was received into the North LondonHospital, with a partial dislocation of the tibiaoutwards, and although the knee was much swol-len, the nature of the injury was easily determined. The knee wasimmovable, and the toes turned outwards. Mr. Hallam, the housesurgeon, reduced it by extension and counter-extension made by hisown Mr. Pitt records a similar case in a young
A practical treatise on fractures and dislocations . moistened with cool waterwere kept constantly applied to the knee for manydays. Very little swelling followed the accident,and his recovery was rapid and complete. A man was received into the North LondonHospital, with a partial dislocation of the tibiaoutwards, and although the knee was much swol-len, the nature of the injury was easily determined. The knee wasimmovable, and the toes turned outwards. Mr. Hallam, the housesurgeon, reduced it by extension and counter-extension made by hisown Mr. Pitt records a similar case in a young lady, produced by a falldown a flight of stairs. It was reduced easily by extension andcounter-extension. Inflammation followed, but it was finally con-trolled, and she regained the use of her In one case of subluxation, mentioned by Sir Astley Cooper, andin a second recorded by Bransby Cooper, the recovery of the func-tions of the joint did not seem to have been so rapid; the jointremaining unstable and tender for a long time Subluxation of the headof the tibia outwards. § 4. Dislocations op the Head of the Tibia Inwards. There is nothing peculiar in either the signs, condition, or treatmentof this accident, as distinguished from a dislocation outwards, to de-mand of us a special consideration. Sir Astley Cooper has mentioned two cases of subluxation inwards, 1 Hallam, Amer. Journ. Med. Sci., vol. xix. p. 251. 2 Pitt, Ibid., vol. xxxi. p. 465. 3 B. Coopers ed. of Sir Astley, op. cit., pp. 111-13. 710 DISLOCATIONS OF THE HEAD OP THE TIBIA. Fisc. 311. and Mr. B. Cooper has added to these a third. Sir Astley remarksthat in the first accident, the only one indeed which he had himselfever seen, he was struck with three circumstances: first, the greatdeformity of the knee from the projection of the tibia; second, theease with which the bone was reduced by direct extension ; and third,by the little inflammation which followed. The second case of whichSir Astley
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