. The principles and practice of modern surgery. Fracture of the Epiphysis of the Trochanter Major.—The tro-chanter is sometimes broken off from the femur, at the part where it isunited by cartilage as an epiphysis in youth. The diagnosis is generallyobscure; but we allude to the accident in order that the surgeon may beaware of the possibility of such an occurrence. The part will unite byligament. Fracture of the Femur just below the Trochanters is liable tobe followed by great deformity and non-union, because the upper frag-ment is tilted forwards by the psoas and iliacus muscles. [See fig.
. The principles and practice of modern surgery. Fracture of the Epiphysis of the Trochanter Major.—The tro-chanter is sometimes broken off from the femur, at the part where it isunited by cartilage as an epiphysis in youth. The diagnosis is generallyobscure; but we allude to the accident in order that the surgeon may beaware of the possibility of such an occurrence. The part will unite byligament. Fracture of the Femur just below the Trochanters is liable tobe followed by great deformity and non-union, because the upper frag-ment is tilted forwards by the psoas and iliacus muscles. [See fig. 46.] Treatment.—The best plan is to place the patient on a fracture-bed,in a half-sitting posture, so as to relax the offending muscles. Fracture of the Shaft of the Femur requires no observations as toits causes or symptoms. The accompanying figure shows the influence of the psoas and iliacusin tilting the upper fragment forwards ; and of the abductor muscles indrawing the lower fragment upwards and inwards. [See fig. 47.] Treaiment.—(1.
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
