A practical treatise on fractures and dislocations . quite probable, yet we lack any abso-lutely conclusive evidence that it has ever takenplace. The specimen of Zuckerkancll, of Vienna, will notbear the test of a critical examination. It was foundin the dissecting-room, and is unaccompanied with anyclinical history; but it is evidently from a person nearthe twentieth year of life. There is, indeed, an ap-parent absence of a portion of the external epicondyle,and there are two ossicula, situated in the externallateral ligament, with smooth, slightly bosselated sur-faces. Dr. Z. explains the pr
A practical treatise on fractures and dislocations . quite probable, yet we lack any abso-lutely conclusive evidence that it has ever takenplace. The specimen of Zuckerkancll, of Vienna, will notbear the test of a critical examination. It was foundin the dissecting-room, and is unaccompanied with anyclinical history; but it is evidently from a person nearthe twentieth year of life. There is, indeed, an ap-parent absence of a portion of the external epicondyle,and there are two ossicula, situated in the externallateral ligament, with smooth, slightly bosselated sur-faces. Dr. Z. explains the presence of two by suppos-ing it was an exceptional process of development; butit is more difficult to explain how the epiphysis shouldhave found its way into the lower or distal portion ofthe external lateral ligament, where he correctly statesthat it is situated. .The supposed original seat iscovered in by perfectly formed lamellated tissue, and underneath the situationin which the ossicula are found is a deep fossa fitted exactly to receive Supposed fracture ofthe entire external epi-condyle. § 10. Fractures of the Internal Condyle. (Trochlea, Chaussier andMalgaigne. Internal Oblique Trochlear Fracture, Denuce.) According to the nomenclature which I have adopted, those fracturesalone which involve the joint can be so designated. They are thosefractures which, commencing outside of the joint above the base of theepicondyle, extend downward and outward through the articular surfaceof the bone; the condylar fragment carrying with itself more or less ofthe trochlea, in most cases passing through the olecranon fossa, the ante-rior fossa, and the groove of the trochlea. I have a record of twenty examples of this fracture seen by myself, while thenumber of fractures of the external condyle recorded by me is twenty-nine;this difference in frequency being slight, but a little in favor of the externalcondyle. Causes.—It has already been stated that fractures of the internal co
Size: 1256px × 1989px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjec, booksubjectfractures
