Modern surgery, general and operative . plicated by fracture. A pubic bonecan be dislocated by falls from a height or by the application of violent force 676 Diseases and Injuries of the Bones and Joints to the acetabula. The condition may happen from accident while riding a dislocation may be up or down, front or back, and it may damage theurethra or the bladder. The patient cannot stand; there are great pain andrecognizable deformity. Treat by molding the bones into place, by applyinga pelvic girdle, and by rest in bed for four weeks. Pure separation or relaxationof the symphysis i
Modern surgery, general and operative . plicated by fracture. A pubic bonecan be dislocated by falls from a height or by the application of violent force 676 Diseases and Injuries of the Bones and Joints to the acetabula. The condition may happen from accident while riding a dislocation may be up or down, front or back, and it may damage theurethra or the bladder. The patient cannot stand; there are great pain andrecognizable deformity. Treat by molding the bones into place, by applyinga pelvic girdle, and by rest in bed for four weeks. Pure separation or relaxationof the symphysis is seldom the result of injury and is usually due to child-birth. In this condition there is mobility, pain on pressure and movement,and pain on abduction of the thighs. The treatment is rest in bed and theapplication of a pelvic girdle. Occasionally in traumatic and also in post-obstetric separation it is necessary to wire the bones. Dislocation of the sacro-iliac joint is produced by falls. Movement on the part of the patient is difE-. Fig. 413.—Thyroid dislocation of the femur eight weeks after the accident. (Rugh). Reduced by open section cult or impossible; there is violent pain, and often paralysis (from pressureupon nerves). In dislocation backward there is apparent shortening of theleg, eversion of the foot exists, and the ilium moves posteriorly and dislocation forward the anterior superior iliac spine projects and the pelvisis broadened. Sacro-iliac dislocation is reduced by holding the pelvis firm andmaking extension by means of a pulley. The patient stays in bed for fourweeks and wears a pelvic belt as in fracture. Dislocation of the coccyx is considered on page 549. Dislocation of the Femur (Hip-joint).—Dislocation of this joint is not oftenencountered, as the hip-joint is very strong. It is most apt to occur in a youngadult. In forcible extension the head of the femur presses against the capsuleof the joint, but the capsule here is very thick, and cer
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