A practical and systematic treatise on fractures and dislocations . rm ofinjury is to be expected in the majority of cases. Besides thefracture of the fibula, either the internal malleolus is broken,or the internal lateral ligament (deltoid) is torn. If the lowerend of the tibia be broken, as well as the fibula, and the footthrown outwards with these two inferior fragments, the injuryis not legitimately a dislocation, but a fracture of both bonesof the leg. Boyer relates a singular case in which the dislo-cation of the foot was not attended with fracture of the fibula,but with displacement of
A practical and systematic treatise on fractures and dislocations . rm ofinjury is to be expected in the majority of cases. Besides thefracture of the fibula, either the internal malleolus is broken,or the internal lateral ligament (deltoid) is torn. If the lowerend of the tibia be broken, as well as the fibula, and the footthrown outwards with these two inferior fragments, the injuryis not legitimately a dislocation, but a fracture of both bonesof the leg. Boyer relates a singular case in which the dislo-cation of the foot was not attended with fracture of the fibula,but with displacement of that bone at its upper is possible for the foot to be thrown outwards, the fibulanot sufi:ering fracture but separation from the tibia at theperoneo-tibial articulation. Suoh accidents have occurred, un-less there has been some mistake on the part of those whoreported them. Tlie ordinary form of the accident is sometimes adjusted bythe patient before the surgeon has an opportunity to examinethe parts implicated in the accident. Finding his foot in an. Dislocation of the foot outwards. Of tue Ankle-Joint. 401 awkward state of deformity, the patient reaches down andtwists it back into place; and then after being carried liorne,lie has his ankle bathed in liniments, believing the injury onlya sprain, and does not send for a surgeon until he finds thatthe difficulty is more serious and tedious than at first antici-pated. Called several days after the accident and the returnof the foot to nearly its natural position, the surgeon must notbe misled by the patients opinion of the case; but shouldseek the depression in the course of the fibula an inch or twoabove the ankle, and rotate the foot to elicit the parts be swollen, a careful examination will revealthe nature of the injury. If asked the question, the patientwill remember having, with his own hands, twisted the dis-torted foot into position. In the event of dislocation, withoutfracture of the fibu
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1870
