. A practical treatise on fractures and dislocations . short radius, the headof the bone cannot be felt. Inthis dislocation there is no crepi-tus, the limb is immobile, the ever-sion is extreme and not easilyovercome, there is generally moreshortening, the thigh is abducted,the trochanter major rotates upona longer radius, and the head ofthe bone can generally be distinct-ly felt in its unnatural position. Prognosis.—Sir Astley Cooperremarks that although this acci-dent is easy of detection, he hasknown three instances in which itwas overlooked, and he cannotbut regard such errors as evidenceo
. A practical treatise on fractures and dislocations . short radius, the headof the bone cannot be felt. Inthis dislocation there is no crepi-tus, the limb is immobile, the ever-sion is extreme and not easilyovercome, there is generally moreshortening, the thigh is abducted,the trochanter major rotates upona longer radius, and the head ofthe bone can generally be distinct-ly felt in its unnatural position. Prognosis.—Sir Astley Cooperremarks that although this acci-dent is easy of detection, he hasknown three instances in which itwas overlooked, and he cannotbut regard such errors as evidenceof great carelessness on the partof the surgeon who is employed. The reduction has generallybeen accomplished, in recent cases,with no great difficulty; and whennot reduced the patients have oc-casionally recovered with veryuseful limbs. Treatment.—From the several reported examples Of dislocation Dislocation upwards and forwards upon the pubes. upon the pubes reduced by mani-pulation, it would be difficult to draw any practical conclusions, since. 1 Dorseys Surgery, vol. i. p. 238, 1813. 656 DISLOCATIONS OF THE THIGH. the methods have differed so widely from each other. I shall mentiononly three, which may be found in our own journals. One of thesehas already been mentioned in connection with the history of thisprocess, as a case of compound dislocation, reduced by Dr. Ingalls, ofChelsea, Mass., and the two remaining examples were both reported byE. J. Fountain, of Davenport, Iowa. Dr. Ingalls succeeded by carry-ing the limb into its greatest state of abduction and rotating the thighinwards; the replacement of the bone being aided also by pressingupon its head with his fingers thrust into the wound; while Dr. Foun-tain succeeded equally in both of his cases, by an almost oppositemode of procedure, namely, by adducting the limb forcibly, rotatingthe thigh inwards and then flexing the thigh upon the body. Thefirst of Dr. Fountains cases occurred in June, 1854. The patient, an
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