A practical treatise on fractures and dislocations . a shortening may exist to the extent of one or even threeinches. Dr. OBeirne, of Dublin, has men-tioned a case to Mr. B. Cooper, in whichthe shortening was three inches and a half,and Mr. Mayo has seen one example inwhich the dislocated limb was fully fourinches shorter than the In consequence of the pressure uponthe popliteal artery, the pulsations in thebranches below are frequently interrupted,and in one instance this pressure was suffi-cient to produce finally a dry gangrene. Dr. Gorde relates a case in the Bulletinde Therapeutiq
A practical treatise on fractures and dislocations . a shortening may exist to the extent of one or even threeinches. Dr. OBeirne, of Dublin, has men-tioned a case to Mr. B. Cooper, in whichthe shortening was three inches and a half,and Mr. Mayo has seen one example inwhich the dislocated limb was fully fourinches shorter than the In consequence of the pressure uponthe popliteal artery, the pulsations in thebranches below are frequently interrupted,and in one instance this pressure was suffi-cient to produce finally a dry gangrene. Dr. Gorde relates a case in the Bulletinde Therapeutique, occurring in a womannearly sixty years old. This woman wasreturning home at night with a heavyburden, and in a state of intoxication,when she stepped into a ditch as deep asup to the middle of her thighs. The bodywas thrown forwards by the fall, while thefeet stuck at the bottom of the ditch; the whole force of the impulsebeing sustained by the thighs. The lower end of the femur wasfound driven downwards and backwards, and lodged under the mus-. Incomplete dislocation of the headof the tibia forwards. 1 Rose, Amer. Journ. Med. Sci., vol. xxxi. p. 216. 2 Walsham, Sir A. Cooper on Disloc, &c, 2d Lond. ed., p. 188. 3 B. Coopers ed. of Sir Astley Cooper on Disloc., &c, pp. 214-215. DISLOCATIONS OF HEAD OF TIBIA FORWAKDS. 707 cles of the calf of the leg; the limb being shortened three inches. Ke-el uction was promptly effected, and without inflicting any pain ofwhich the patient complained. In six weeks the patient was Mr. Toogood has reported also, in the Provincial Medical Journal ofJune 18th, 1842, an example of complete dislocation in this direction,in which the appearance was so dreadful, that Mr. Toogood at firstdespaired of being able to reduce it; but by directing two men tomake counter-extension while he made extension, the reduction wasimmediately effected. At the end of one month the patient was ableto leave his bed ; and sixteen years after, Dr. Toogood saw h
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