. Atlas and epitome of traumatic . y I ^K E Reich held Miinchen. FRACTURES OF THE LOWER EXTREMITY. 285 Examination.—Inspection discovers shortening of thethigh, swelling, and pain on movement at the seat of frac-ture. By palpation abnormal mobility at the lower endof the femur, at a point just above the condyles, is elicited,especially when the parts are moved in a lateral direc-tion. Crepitus is present if the fractured surfaces are incontact. The ends of the fragments can often be directly felt, thelower one high up in the popliteal space, the upper onein front. The kn
. Atlas and epitome of traumatic . y I ^K E Reich held Miinchen. FRACTURES OF THE LOWER EXTREMITY. 285 Examination.—Inspection discovers shortening of thethigh, swelling, and pain on movement at the seat of frac-ture. By palpation abnormal mobility at the lower endof the femur, at a point just above the condyles, is elicited,especially when the parts are moved in a lateral direc-tion. Crepitus is present if the fractured surfaces are incontact. The ends of the fragments can often be directly felt, thelower one high up in the popliteal space, the upper onein front. The knee-joint may also be injured at the sametime. Anesthesia is desirable, both in making the exam-ination and in effecting reduction. Treatment.—The best treatment consists in permanentextension with weights. Moderate pressure by means ofa roller bandage, or a loop connected with a second exten-sion apparatus pulling directly upward, may be appliedagainst the lower fragment at the seat of fracture so as tokeep it in a position of
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