A practical treatise on fractures and dislocations . ongly everted, isa regular dorsal dislocation,the head being advanced uponthe dorsum to a point near theanterior margin of the now the limb be broughtdown, the neck of the femurwill be made to bear againstthe outer fibres of the ilio-femoral ligament, and as thesegradually give way the headwill become more and morehooked over the remainingfibres of the ligament, and above the inferior spinous process (supra-spinous ); or, continued efforts being made to straighten the limb, theligament will give way entirely, and the femur will assu
A practical treatise on fractures and dislocations . ongly everted, isa regular dorsal dislocation,the head being advanced uponthe dorsum to a point near theanterior margin of the now the limb be broughtdown, the neck of the femurwill be made to bear againstthe outer fibres of the ilio-femoral ligament, and as thesegradually give way the headwill become more and morehooked over the remainingfibres of the ligament, and above the inferior spinous process (supra-spinous ); or, continued efforts being made to straighten the limb, theligament will give way entirely, and the femur will assume the posi-tion indicated by the dotted lines. Bigelow recommends a plan of treatment essentially the same as thathitherto recommended by myself. The anterior oblique dislocationmay be reduced by inward circumduction of the extended limb acrossthe symphysis, with a little eversion, if necessary, to disengage the headof the bone. Inward rotation then converts this into the common lux-ation upon the dorsum. In the supraspinous dislocation, he recom-. Supraspinous dislocation. (Bigelow.) Pirries Surgery, p. 276. See also Phil. Med. Exam., No. 51, Mutters paper. ANOMALOUS DISLOCATIONS. 723 mends also inward circumduction, with as much eversion as may benecessary to disengage the head from the pelvis, by which the disloca-tion is at once converted into dorsal. 2. Dislocations Dowmvards and Backwards upon the Posterior Part of the Body of the Ischium, between its Tuberosity and its Spine. James C, set. 35, was admitted to the Pennsylvania Hospital, on the23d of January, 1835, under the care of Dr. Hewson. The patient,a muscular man, had been crushed under a falling roof, and, as hethought, with his right thigh separated from his body. When receivedinto the hospital, one hour after the accident, the right thigh was flexedupon the pelvis, and rested upon the left; the right leg was also flexedupon the thigh ; the knee was below its fellow, the toes turned inwards,and the whole limb sh
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
