Atlas and epitome of traumatic fractures and dislocations . ment may be partiallypreserved. Displacement, wdien present, is usually analo-gous to that observed in typical supracondylar transversefractures. Occasionally, however, it is directly oppositein character (Plate 59, Figs. 3 and 4). It depends alto-gether on the nature of the injuring force and the directionin which it acts. Tlie knee-joint rarely escapes (hemor-rhagic effusion). On examination, thickening and pain on pressure arediscovered at the epiphyseal line. Sometimes the dis-placement may be felt, and soft crepitation may be mad
Atlas and epitome of traumatic fractures and dislocations . ment may be partiallypreserved. Displacement, wdien present, is usually analo-gous to that observed in typical supracondylar transversefractures. Occasionally, however, it is directly oppositein character (Plate 59, Figs. 3 and 4). It depends alto-gether on the nature of the injuring force and the directionin which it acts. Tlie knee-joint rarely escapes (hemor-rhagic effusion). On examination, thickening and pain on pressure arediscovered at the epiphyseal line. Sometimes the dis-placement may be felt, and soft crepitation may be madeout. There is abnormal mobility, especially in abductionand adduction, movements that act like a lever on the leg. [According to Poland and others, reduction is fre-quently difficult and sometimes impossible in this epiph-yseal separation. In such cases one should operate. Mycolleague. Dr. Finney, has observed one case in which itwas necessary to operate in order to reduce the dislocatedlower fragment, with an excellent result. In effecting the Tdb.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1902
