A practical treatise on fractures and dislocations . In this case the limb was slightly flexed, and thepatella was loose and floating. The reduction was effected without much diffi-culty by extension and counter-extension made by two men, while the operator,placing his knee in the ham of the patient, attempted to bring the leg to aright angle with the B. Cooper, Malgaigne, Little,6 and others, have recorded examples of this acci-dent. March 9, 1865, Hiram Wescott, of Sandy Cove, Nova Scotia, set. 45, wascaught by his sled, drawn by horses, in such a way that a beam pressed againstthe f
A practical treatise on fractures and dislocations . In this case the limb was slightly flexed, and thepatella was loose and floating. The reduction was effected without much diffi-culty by extension and counter-extension made by two men, while the operator,placing his knee in the ham of the patient, attempted to bring the leg to aright angle with the B. Cooper, Malgaigne, Little,6 and others, have recorded examples of this acci-dent. March 9, 1865, Hiram Wescott, of Sandy Cove, Nova Scotia, set. 45, wascaught by his sled, drawn by horses, in such a way that a beam pressed againstthe front and lower end of the femur while the heel was caught and arrested bya stump. The foot was thrown forward and the upper end of the tibia com-pletely dislocated in the same direction, It was at once reduced by a personwho was present, but on attempting to use the leg in walking it was redislo-cated immediately. Mr. J. H. Harris, medical student, found the limb soonafter completely dislocated, with the leg thrown forward in the position of dorsal. Subluxation of the head of thetibia forward. 1 B. Coopers ed. of Sir Astley Cooper on Disloc, etc., pp. 214, 215. 2 Bulletin de Therapeutique. 3 Gorde, Amer. Journ. Med. Sci., vol. xvi. p. 225, May, 1835. * Toogood, Amer. Journ. Med. Sci., vol. xxxi. p. Little, New York Med. Times, Aug. 17, 1861. E. Parker, Ibid. 764 DISLOCATIONS OF THE HEAD OF THE TIBIA. flexion about 40°. The tendons of the hamstring muscles were not ruptured,but had slid forward past the condyles of the femur. There was no externalwound. Reduction was easily accomplished by simple extension. Pasteboardsplints were then applied. On the third day the knee was considerably swollen,and some ecchymosis existed about the popliteal region. On the fifth day thesesymptoms had much increased. Mr. Harris then applied extension to the foot,with the aid of adhesive plaster, pulley and weights, and by elevating the footof the bed. The amount of exteusion employed was 9
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