. A practical treatise on fractures and dislocations. Fracture of the neck ; healed. (U. S. Army Med. Museum.) enough of the periosteum of the neck to make a vigorous vitality of thehead probable is probably common ; and (3) that the primary displace-ment usually does not separate the fractured surfaces, so that if Fig. 254. it is not increased by early at-tempts to use the limb or, morerarely, by the action of the mus-cles in the absence of proper re-tention, the conditions for reunionare favorable. We also knowthat fair usefulness of the limb,even after union has failed, ispossible; and it h
. A practical treatise on fractures and dislocations. Fracture of the neck ; healed. (U. S. Army Med. Museum.) enough of the periosteum of the neck to make a vigorous vitality of thehead probable is probably common ; and (3) that the primary displace-ment usually does not separate the fractured surfaces, so that if Fig. 254. it is not increased by early at-tempts to use the limb or, morerarely, by the action of the mus-cles in the absence of proper re-tention, the conditions for reunionare favorable. We also knowthat fair usefulness of the limb,even after union has failed, ispossible; and it has not beenproved that this usefulness isgreater or more probable if theattempt to secure union has notbeen made. If union takes place with amarked reduction of the anglebetween the neck and the shaft,coxa vara, there will be not onlyshortening but also diminutionof abduction of the joint; andin any case the change in thelength of the neck and in itsangle, the exuberant callus infractures at the base of the neck, 24. Marked coxa vara after fnuture. History un-known. (V. S. .\rmy Med. Museum.^ md the arthritis and retraction o^ the 370 FRACTURES. periarticular tissues occasioned by the trauma ensure, except perhaps inthe young, a definite and often considerable diminution of the range ofmotion in the joint. It is also very important to remember that long after union hasapparently taken place, as indicated by ability to move the limb quitefreely and painlessly, it can be abruptly destroyed by refracture orgradually changed with marked increase of the shortening by prematureuse of the limb in walking. Several months—four to six in most cases—are needed for full consolidation. Symptoms and Diagnosis. The symptoms of the fracture and the signs upon which the diag-nosis must be made include not only the usual objective and subjectivesymptoms of fracture but also the history of the case, the nature ofthe violence, and especially its slight degree, which so often char-acterizes thi
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectfractur, bookyear1912
