. A treatise on dislocations and fractures of the joints. so broken from two to three inches above the joint; and the brokenend of the fibula is carried down upon the astragalus, occupying thenatural situation of the tibia. The malleolus externus of the fibularemains in its natural situation, with two inches of the fibula and thesplit portion of the tibia ; the ligamentous fibres attached to the fibulaat the malleolus externus, and the three strong external lateral liga-ments, remain uninjured. Causes.—This accident generally happens through jumping from aconsiderable height; or it may be caus
. A treatise on dislocations and fractures of the joints. so broken from two to three inches above the joint; and the brokenend of the fibula is carried down upon the astragalus, occupying thenatural situation of the tibia. The malleolus externus of the fibularemains in its natural situation, with two inches of the fibula and thesplit portion of the tibia ; the ligamentous fibres attached to the fibulaat the malleolus externus, and the three strong external lateral liga-ments, remain uninjured. Causes.—This accident generally happens through jumping from aconsiderable height; or it may be caused if the foot is suddenlychecked in its motion whilst a person is running violently with thetoe turned outwards : it may also be caused by a fall to the outer sidewhen one foot is fixed. OF THE TIBIA INWARDS. 225 To distinguish a fracture of the fibula, the hand must grasp the legjust above the ankle, and then the foot must be freely rotated ; when,the motion of the foot being communicated to the fibula, pain will befelt, and a crepitus be Treatment.—For the reduction of this dislocation, which cannotbe too soon accomplished, the patient is to be placed upon a mattressproperly prepared, and is to rest on the side on which the injury hasbeen sustained ; the surgeon is then to bend the leg at right angleswith the thigh, so as to relax the gastrocnemii muscles as much aspossible ; and an assistant grasping the foot, must gradually draw itin a line with the leg. The surgeon then fixes the thigh and pressesthe tibia downwards, thus forcing it upon the articulating surface ofthe astragalus. Great force is required if the limb be placed in theextended position, from the resistance of the gastrocnemii; and it ispleasing to observe, after most violent attempts by others, a well-in-formed surgeon gently bend the limb, and, under a comparativelyslight extension, return the parts to their natural situation. When the limb has been reduced it is still to remain upon its oute
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Keywords: ., bookcentury1800, bookdecade1840, booksubjectfractur, bookyear1844
