A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . gament infront and below, while behind and above only about three fourths of itslength is so covered; that the extent of capsular envelopment variesin different persons; that the synovial membrane does not extend asfar out upon the neck as does the capsule, hence a part of the neck iseatfra-articular though really mfr«-capsular; that the line of fractureis frequently not confined to either the intra- or extra-capsular portionof
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . gament infront and below, while behind and above only about three fourths of itslength is so covered; that the extent of capsular envelopment variesin different persons; that the synovial membrane does not extend asfar out upon the neck as does the capsule, hence a part of the neck iseatfra-articular though really mfr«-capsular; that the line of fractureis frequently not confined to either the intra- or extra-capsular portionof bone ; and that the clinical diagnosis between intra- and extra-capsu-lar lines is often impossible, as can readily be understood by what haspreceded. Even at the autopsy the fact of a given fracture being in-tra-capsular, or rather intra-articular for it is the relation to the jointthat is important, can only be known by accurate examination of thesynovial membrane. This is further complicated by the fact that,after fracture the outer portion of the cavity of the joint may, it issaid, be obliterated by adhesion of the capsule to the periosteum. 452 Fracture of epiphy-sis of great trochanterand fracture of con-dyles. (Agnew.) Impaction and fixation of fragments at the time of receipt of injury-is very frequent in fractures at the base of the neck and not infre-quent in those of the small part of the neck. Attempts at walking,improper surgical manipulation and other secondaryviolence often cause undesirable separation of the inter-locked fragments. Cervical fractures of the femurare often due to slight injuries, as a twist from catch-ing the foot in a fold of carpet, missteps and insig-nificant falls on the knee, buttocks and side of is possible that in certain positions musculareffects to avoid falling may be a factor in causing thefracture. An important element in their productionis weakening of the osseous tissue by senile degener-ation, which begins at
Size: 920px × 2717px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, booksub, booksubjectsurgicalproceduresoperative
