. Chicago medical journal . sal surface of the ilium, as it can be inthose subjects in iliac dislocation ; the limb could be movedtolerably freely in all directions, and there was a want of crepi-tation. In old men—men over 65—owing to its comparativebrittleness, the neck of the femur will commonly give waybefore a dislocation is produced ; and, indeed, the forces that,in middle life, usually produce dislocations, in old age pro-duce fractures. In an iliac dislocation, the foot, as mentionedabove, is firmly fixed n a constrained manner; but there isno reason, except from the consensual avoidan
. Chicago medical journal . sal surface of the ilium, as it can be inthose subjects in iliac dislocation ; the limb could be movedtolerably freely in all directions, and there was a want of crepi-tation. In old men—men over 65—owing to its comparativebrittleness, the neck of the femur will commonly give waybefore a dislocation is produced ; and, indeed, the forces that,in middle life, usually produce dislocations, in old age pro-duce fractures. In an iliac dislocation, the foot, as mentionedabove, is firmly fixed n a constrained manner; but there isno reason, except from the consensual avoidance of pain, whythis should be the reason in an impacted fracture. Indeed, 566 IMPACTED FRACTURE, ETC. in this case, the free motion of the afflicted limb, and the wantof crepitation, owing to the firm manner in which the frag-ments are locked together, were the diagnostic symptoms—and that, too, in spite of the knee and foot assuming a positiondirectly the reverse of that usually attributed to this species We were not able to have an autopsy in the hospital, but onenight whilst at work in the dissecting room of one of thecolleges, this old mans body was brought in by the resurrec-tionist. The bone was found in the condition in which thefigure represents it, viz.: there are six pieces ; the fractureextends through the trochanters; the neck is firmly impactedamongst the surrounding fragments; the upper end of theshaft and one of the larger pieces are somewhat excavated,forming a socket for the broken end of the neck; there wasno evidence that the reparative process had commencedamongst the fragments ; the pieces were held in excellentposition, and any successful efforts to have restored the limb toits normal length and position, would have placed the parts ina position less capable of bony union, than the one in whichthe autopsy revealed them. It is well known that bony CORRESPONDENCE. 567 union has taken place in this variety of fracture, and that,too, in pati
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectmedicine, bookyear186
