. Virginia medical semi-monthly. n fromthe anterior superior iliac spine to the tuber-osity of the ischium : this line crosses the centreof the acetabulum just above the greater tro-chanter. Hip joint dislocations are therefore of twochief varieties: 1. Backward Dislocations, those behindNelatoirs line, on to the back of the ilium orinto the great sacro-sciatic notch. 2. Forward Dislocations, those in front ofNelatons line, on to the front of the pubes orinto the obturator foramen. On September 20, 1916, dames Edwards, 22years old, a colored laborer on the constructionwork of the Southern Ry.
. Virginia medical semi-monthly. n fromthe anterior superior iliac spine to the tuber-osity of the ischium : this line crosses the centreof the acetabulum just above the greater tro-chanter. Hip joint dislocations are therefore of twochief varieties: 1. Backward Dislocations, those behindNelatoirs line, on to the back of the ilium orinto the great sacro-sciatic notch. 2. Forward Dislocations, those in front ofNelatons line, on to the front of the pubes orinto the obturator foramen. On September 20, 1916, dames Edwards, 22years old, a colored laborer on the constructionwork of the Southern Ry. Co., while standingon the front end of a lever car, facing back-ward and working the lever, on his way towork near Promt, Va., fell backward, landingon his back between the rails. The car from which he fell and a second car close behind thefirst, ran over him violently Hexing his thighson the abdomen or pelvis: he was not renderedunconscious and was brought to the UniversityHospital at Charlottesville, Va., where I treat-ed Dislocation of Heads of both Femurs tothe Great Sacro-sciatie Xoteh. The objective symptoms present are prettywell shown in the photograph, Internal ro-tation of both lower extremities with inversionof both feet, adduction and slight flexion ofboth thighs, touching of the knees, slight flex-ion of both legs. When the patient lav en hisback both knees were lifted up from the bedby the flexion of the thighs, while the feet over-lapped each other on account of the internalrotation of the two lower extremities. The subject!re symptoms were: Pain andtenderness about both hips, impaired ra bility 318 THE VIRGINIA MEDICAL SEMI-MONTHLY. [October 13, of both hip joints, rigidity of gluteal and thighmuscles, and inability to stand. The most com-fortable position was sitting upright withthighs flexed. In the treatment of the case the patient wasetherized lying on his back in bed. The diag-nosis indicated by the symptoms and X-rayphotograph was bac
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