. Radiography and radio-therapeutics . in a number of cases the fracture extendsbeyond the limits of both. Fracture of the neck of the femur in healthyindividuals is generally due to a considerable degree of violence. Thereare exceptions to this in the aged and even in young and apparently healthy adults. A fracture may be discoveredwhen patients are examined afterquite minor degrees of violence. Inone case of this kind a young soldier,while quietly walking, felt some-thing give way. On examination afracture of the neck of the femur wasrevealed. Fracture through the GreatTrochanter is also com
. Radiography and radio-therapeutics . in a number of cases the fracture extendsbeyond the limits of both. Fracture of the neck of the femur in healthyindividuals is generally due to a considerable degree of violence. Thereare exceptions to this in the aged and even in young and apparently healthy adults. A fracture may be discoveredwhen patients are examined afterquite minor degrees of violence. Inone case of this kind a young soldier,while quietly walking, felt some-thing give way. On examination afracture of the neck of the femur wasrevealed. Fracture through the GreatTrochanter is also common. It maybe localised to the trochanter or mayextend downwards obliquely into theshaft. Fractures of the Femur Fracture through the Shaft Fio. 224.—Fracture through shafts of both femora, below the lesscr trochanter is an injury The fracture is conuniuuteil on the left side. often met with Fractures of the Lower End.—(1) Transverse supra-condyloidfractureis practically identical with that involving the lower third of the FRACTURES IN NEIGHBOURHOOD OF ANKLE-JOINT 251 (2) T- or Y-shaped fracture of the condyles. In this a transversefracture is compHcated by a fissure which runs into the joint, separatingthe two condyles. (3) Separation of either condyle usually results from direct violence, theline of fracture being oblique. (4) The lower epiphysis of the femur is separated from the shaft inyoung people. (5) Longitudinal and spiral fractures running down to the knee-jointare met with in the femur. Fractures of the Patella These may vary from mere fissures to complete fracture with wideseparation at the line of fracture. The partial fracture is the one which it ismost important to recognise. A lateral view of the knee-joint is the mostuseful position in which to radiograph the joint for its recognition. Fractures of the Bones of the Leg The tibia and fibula may be involved when there is a fracture of thelower end of the femur; they may be broken together or either bo
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