. A practical treatise on fractures and dislocations. backward against another box andthen sidewise to the ground. When I saw him, three hours later, hewas lying on his back with the right thigh extended, slightly abducted,and so far everted that the foot rested along the entire length of itsouter border on the bed. The upper anterior portion of the thigh closebelow the groin was rounded and swollen, and showed two incompletetransverse rents in the skin about two inches long and about two inchesbelow the anterior superior spine of the ilium, which evidently hadbeen caused by overstretching of
. A practical treatise on fractures and dislocations. backward against another box andthen sidewise to the ground. When I saw him, three hours later, hewas lying on his back with the right thigh extended, slightly abducted,and so far everted that the foot rested along the entire length of itsouter border on the bed. The upper anterior portion of the thigh closebelow the groin was rounded and swollen, and showed two incompletetransverse rents in the skin about two inches long and about two inchesbelow the anterior superior spine of the ilium, which evidently hadbeen caused by overstretching of the skin (hyperextension of thejoint). The outward rotation gave the thigh a very peculiar appear-ance ; the bulk of the quadriceps extensor formed a longitudinal masson the outer side between the anterior (inner) aspect and a deep longi-tudinal depression extending from the trochanter to the side of theknee. Every attempt to move the limb caused pain and sharp con-traction of the muscles. Ether was administered. The limb could then be easily placed. Old supracotyloid dislocation. Traverssand Cadges case. DfNLOOAllONN <)!< THE II11. ) alongside of and parallel with the other; (Ik- shortening was two cen-timetres. The head of the femur lay directly beneath the skin andcould be distinctly outlined. It lay just external i a line drawndownward from the anterior superior spinous process, and it- upperborder was about one inch below that prominence. Internal rotationwas impossible; moderate flexion was easy. Reduction was easily effected by flexing the hip about twentydegrees, and then making moderate traction along its axis with onehand at the knee, and direct pressure downward and backward uponthe head of the femur with the other. By fully extending the thighand making slight pressure forward against the upper pari of its pos-terior aspect the dislocation was easily reproduced, and was then againreduced as before. Fig. 344.
Size: 1286px × 1943px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookpublishernewyork, booksubjec
