The treatment of fractures . 277 278 FRACTURES OF THE FEMUR FRACTURE OF THE SHAFT OF THE FEMURFracture of the shaft of the femur is usually oblique. It issituated either just below the lesser trochanter (subtrochantericfracture), at the center of the shaft, or above the condyles(supracondyloid fracture). Even in closed fractures there issometimes great damage to the soft parts : the vessels of thethigh are at times injured. Symptoms.—There is often great swelling at the seat offracture. The limb lies helpless. Pain, abnormal mobility,deformity, marked lateral rolling of the leg below the seat
The treatment of fractures . 277 278 FRACTURES OF THE FEMUR FRACTURE OF THE SHAFT OF THE FEMURFracture of the shaft of the femur is usually oblique. It issituated either just below the lesser trochanter (subtrochantericfracture), at the center of the shaft, or above the condyles(supracondyloid fracture). Even in closed fractures there issometimes great damage to the soft parts : the vessels of thethigh are at times injured. Symptoms.—There is often great swelling at the seat offracture. The limb lies helpless. Pain, abnormal mobility,deformity, marked lateral rolling of the leg below the seat of the. Fig. 379.—Fracture of the thigh at the middle. Characteristic deformity. fracture, and crepitus, one or all, may be evident (see , 380). The limb is shortened. Measurement (see Figs. 383-386 inclusive) to determine theamount of the shortening is to be made from the anterior superiorspinous process of the ilium to the internal malleolus of the sameside. Great care must be exercised in taking this measurementso that the patient lies flat upon the back upon a hard and evensurface, with the arms at the sides of the body and with no pillowunder the head or shoulders. The long axis of the body shouldbe in the same line with the long axis between the legs as theylie with the malleoli approximated—i. e., the chin, episternalnotch, umbilicus, the symphysis pubis, the midpoint between theknees, and the midpoint between the internal malleoli should all THE SHAFT OF THE FEMUR 2/9 be in one straight line (sec Fig. 386). The line joining the ante-rior superior spinous processes of the i
Size: 2236px × 1118px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
