A practical treatise on fractures and dislocations . te flexion and extension, the bone was easily andpromptly restored to its place. Very little swelling fol-lowed the accident, and his recovery was rapid and com-plete. A man was received into the North London Hospital,with a partial dislocation of the tibia outward, and althoughthe knee was much swollen, the nature of the injury waseasily determined. The knee was immovable, and thetoes turned outward. Mr. Hallam, the house surgeon,reduced it by extension and counter-extension made withhis own Mr. Pitt records a similar case in a youn
A practical treatise on fractures and dislocations . te flexion and extension, the bone was easily andpromptly restored to its place. Very little swelling fol-lowed the accident, and his recovery was rapid and com-plete. A man was received into the North London Hospital,with a partial dislocation of the tibia outward, and althoughthe knee was much swollen, the nature of the injury waseasily determined. The knee was immovable, and thetoes turned outward. Mr. Hallam, the house surgeon,reduced it by extension and counter-extension made withhis own Mr. Pitt records a similar case in a young lady, pro-duced by a fall down a flight of stairs. It was reduced easily by extension and counter-extension. Inflammation followed, but it wasfinally controlled, and she regained the use of her In one case of subluxation, mentioned by Sir Astley Cooper, and in a secondrecorded by Bransby Cooper, the recovery of the functions of the joint did notseem to have been so rapid ; the joint remaining unstable and tender for a longtime Subluxation of thehead of the tibia out-ward. §4. Dislocations of the Head of the Tibia Inward. There is nothing peculiar in either the signs, conditions, or treatmentof this accident, as distinguished from a dislocation outward, to demanda special consideration. 1 Hallam, Amer. Journ. Med. Sci., vol. xix. p. 251. 2 Pitt, Ibid., vol. xxxi. p. 465. 3 B. Coopers ed. of Sir Astley, op. cit., pp. 111-13. 766 DISLOCATIONS OF THE HEAD OF THE TIBIA, Fig. 489. Sir Astley Cooper has mentioned two cases of subluxation inward, and Mr. B. Cooper has added to these a third. Sir Astley remarks that in the first accident,the only one indeed which he had himself ever seen, hewas struck with three circumstances : first, the great de-formity of the knee from the projection of the tibia;second the ease with which the bone was reduced by directextension; and third, by the little inflammation whichfollowed. The second case of which Sir Astley speakswas
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