. A practical treatise on fractures and dislocations . t in order toremove his pantaloons: he lost his balance, partially twisted the leg, andfell to the ground. Six months after, the fragment was removed byDr. Crosby, through an incision below the con-Fig. 173. dyle. The recovery of the young man has beencomplete. The accompanying drawing represents thespecimen as seen from its lower or cartilaginoussurface, and of its actual size. Dr. T. S. Kirkbride has also reported an ex-ample of simple fracture of this condyle, whichwas produced by the kick of a horse, the blowhaving been received upon t
. A practical treatise on fractures and dislocations . t in order toremove his pantaloons: he lost his balance, partially twisted the leg, andfell to the ground. Six months after, the fragment was removed byDr. Crosby, through an incision below the con-Fig. 173. dyle. The recovery of the young man has beencomplete. The accompanying drawing represents thespecimen as seen from its lower or cartilaginoussurface, and of its actual size. Dr. T. S. Kirkbride has also reported an ex-ample of simple fracture of this condyle, whichwas produced by the kick of a horse, the blowhaving been received upon the inside of the this patient entered the PennsylvaniaHospital, Dec, 183-i, the knee was much swollenand crepitus was plainly felt, but the fragmentwas not much displaced; the muscles upon theouter side, however, were so strongly contractedas to abduct the leg and produce considerableangular deformity. The limb could be easilymade straight, but it returned to its former position of abduction, as 1 Crosby, New Hampshire Journ. of Med., Dr. Crosbys specimen offracture of the external con-dyle. FRACTURES OF THE CONDYLES. 435 Fig. 174. soon as it was released. When fully extended, slight bending of thejoint did not give severe pain, but when in any degree flexed allmotion was very painful. The limb was placed in a long straight frac-ture box, and cold applications were made:great swelling followed. It was kept extendedin this manner, or in the long splint of De-sault, twenty-eight days; at which time unionseemed to have taken place, but the motions atthe joint were very limited and productive ofgreat pain. From this period the limb waslaid in a splint so constructed as that the angleat the knee could be changed daily. At theend of about six weeks he began to walk oncrutches, and he could then flex the leg to aright Sir Astley has related a case of compoundfracture of the same condyle, produced by fall-ing from a curb-stone upon the knee. Theman died on the
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