A practical treatise on fractures and dislocations . n the tubes a socketwas formed for the neck of thethigh-bone, the head being abovethe level of the pubes. Thefemoral artery and vein were tothe inner side (Fig. 468). The head of the femur may befound lying far forward upon thepubes (Figs. 472, 473), men-tioned below: or it may lie fur-ther back, along the ilio-pubicmargin, and rests below and infront of the anterior superior spi-nous process of the ilium. Whenthe head rests directly below thisprocess, the dislocation is consid-ered anomalous or irregular, and this form will be considered he
A practical treatise on fractures and dislocations . n the tubes a socketwas formed for the neck of thethigh-bone, the head being abovethe level of the pubes. Thefemoral artery and vein were tothe inner side (Fig. 468). The head of the femur may befound lying far forward upon thepubes (Figs. 472, 473), men-tioned below: or it may lie fur-ther back, along the ilio-pubicmargin, and rests below and infront of the anterior superior spi-nous process of the ilium. Whenthe head rests directly below thisprocess, the dislocation is consid-ered anomalous or irregular, and this form will be considered hereafter asthe subspinous dislocation. In the accompanying drawing the relation of the ilio-femoral ligamentof the head and neck of the femur is shown, when the head ascendsmoderately upon the pubes. The extreme displacement shown in thepreceding illustration from Sir Astley Cooper is only possible where thatportion of the capsule beneath the obturator internus is torn, and perhapsthe obturator itself. According to Bigelow, the ilio-femoral ligament. Dislocation upon the pubes below the ante-rior inferior spinous process of the ilium.(From Bigelow.) 1 Medical News and Library, vol. xvi. p. 1, from Lond. Lancet, Nov. 7, 1857. 46 722 DISLOCATIONS OF THE THIGH. and the psoas magnus and iliacus internus are then the only remainingcauses of eversion. The femoral artery and vein are usually found upon the inner side of thehead, but occasionally these vessels are in front of, and sometimes external to,the head. In a case related by Goldsmith, of Louisville,1 where the femoral artery wassituated in front of the head, and the dislocation remaining unreduced, at theend of two months a diffuse aneurism having formed, the primitive iliac wastied, and the patient died on the fifth day. The autopsy revealed an openingin the artery through which the head of the bone had passed until it lay withinthe cavity of the aneurism. Kronlein2 reports a case of tearing of the femoral vein, in a case in w
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Keywords: ., bookcentury1800, bookdecade1890, booksubjec, booksubjectfractures
