. A treatise on dislocations and fractures of the joints. rbefore his admission he was helping to carry a heavy crate down stairs,when his foot slipped, and he fell backwards, receiving the weight onthe groin. The following are the appearances which the limb presented as helay extended on his back. The left leg was shortened at least twoinches, and the foot excessively everted, so as almost to give the toes adirection backwards. The injured limb had a tendency to cross thesound one, so as to throw the heel of the former over the instep of thelatter; nevertheless, when they were placed side by
. A treatise on dislocations and fractures of the joints. rbefore his admission he was helping to carry a heavy crate down stairs,when his foot slipped, and he fell backwards, receiving the weight onthe groin. The following are the appearances which the limb presented as helay extended on his back. The left leg was shortened at least twoinches, and the foot excessively everted, so as almost to give the toes adirection backwards. The injured limb had a tendency to cross thesound one, so as to throw the heel of the former over the instep of thelatter; nevertheless, when they were placed side by side, they remain-ed in that position. The leg was susceptible of all the natural motionsto some extent, with the exeption of rotation : but the man complainedof great pain while under examination. The projection of the tro-chanter major was entirely lost, whilst the luxated head of the bonecould be felt under Pouparts ligament, just below and to the inner sideof the anterior superior spinous process of the ilium, and apparently UPWARDS AND FORWARDS. 87. lying between the anterior inferior spinous process of the ilium, andthe junction of that bone with the pubes. It thus rested upon thebrim of the pelvis, and projectedupwards towards the femoral artery was not dis-placed, but could be traced on theinner side of the dislocated bone. Taking into consideration, saysMr. Morgan, the age of the patient,the recent occurrence of the injury,the depressed condition of the man,and the flabby state of the muscles,I determined to attempt reductionwithout the pulleys ; and accord-ingly directed that extension shouldbe made downwards from the kneeby means of a round towel, whilstI fixed the pelvis by sitting onthe bed, and placing my foot be-tween the scrotum and the of our students then stead-ily employed extension for about three minutes; the patient wasthen directed to raise his shoulders from the bed ; and at the samemoment extension was suddenly increased, and the
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Keywords: ., bookcentury1800, bookdecade1840, booksubjectfractur, bookyear1844
