A system of surgery : pathological, diagnostic, therapeutic, and operative . blow, or kick, breaking off the trochanter inan oblique direction from above downwards. Thefracture is sometimes comminuted, the trochanterbeing broken into several pieces, of irregular sizeand shape, the fta2:ments grating under the fingerslike a number of pieces of china. It may also becompound, although, in general, it is unaccompaniedby any wound of the soft parts. The symptoms of fracture of the great trochanterare generally well marked, the most important con-sisting of eversion of the limb, with separation ofth
A system of surgery : pathological, diagnostic, therapeutic, and operative . blow, or kick, breaking off the trochanter inan oblique direction from above downwards. Thefracture is sometimes comminuted, the trochanterbeing broken into several pieces, of irregular sizeand shape, the fta2:ments grating under the fingerslike a number of pieces of china. It may also becompound, although, in general, it is unaccompaniedby any wound of the soft parts. The symptoms of fracture of the great trochanterare generally well marked, the most important con-sisting of eversion of the limb, with separation ofthe fragments, inability on the part of the patient tosit down, and difficulty of obtaining eversion is unusually distinct, and is probablydue, at least in great degree, to the loss of power inthe external rotator muscles ; the limb lies in a help-less condition, and no effort that the patient canmake can change its position. The broken trochanter is commonly widely sepa-rated from the shaft of the bone, and hence the difficulty which is generally Fisr. Fracture of the great trochanter. 982 DISEASES AND INJURIES OF BONES. CHAP. VIII. experienced in eliciting crepitus, this being only practicable by placing the partsin apposition with each other. The displacement is either upwards towards theilium, or downwards towards the tuberosity of the ischium, the former being themore frequent. When the patient attempts to sit down he is completely foiled,and immediately experiences great increase of pain, compelling him to authors speak of shortening of the limb as a symptom of this fracture, but,if shortening really exist, it can only be in a very slight degree. More or lesscontusion and ecchymosis of the soft parts are usually present. The diagnostic signs are the eversion of the limb, the loss of prominence atthe natural site of the trochanter, the fixed position of the small fragment onmoving the shaft of the femur, and crepitus on approximation of the
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
