. A practical treatise on fractures and dislocations. enstein. In a case reported by Stokes in which the head had passed over thebrim into the pelvis, the superior ramus of the pubis had been frac-tured and much comminuted. The patient died on the table immedi-ately after reduction, by pulmonary embolus, it was thought. Cases in which the dislocation was compound have been quoted inChapter LI., p. 795 ; in one of them the femoral vein was a case reported by Goldsmith and quoted on p. 484, in whichthe dislocation had remained unreduced for two months when thepatient came under obser
. A practical treatise on fractures and dislocations. enstein. In a case reported by Stokes in which the head had passed over thebrim into the pelvis, the superior ramus of the pubis had been frac-tured and much comminuted. The patient died on the table immedi-ately after reduction, by pulmonary embolus, it was thought. Cases in which the dislocation was compound have been quoted inChapter LI., p. 795 ; in one of them the femoral vein was a case reported by Goldsmith and quoted on p. 484, in whichthe dislocation had remained unreduced for two months when thepatient came under observation, there was found a diffused pulsatingswelling occupying the iliac fossa and extending down to the middleof the thigh, which had appeared a few days after the accident; theexternal iliac artery was tied, and at the patients death, five dayslater, the femoral and external iliac arteries were found to be perforatedfor the distance of an inch on their postero-external aspect, and thehead of the femur lying in the cavity of the aneurism. Fig. Old unreduced suprapubic dislocation of the hip. (Cooper.) In one or two cases pressure upon the anterior crural nerve has beenmanifested by numbness in its area of distribution. 1 Kocher: Loc. cit., p. 616. ^ Borchard : Deutsche Zeitschrift fur Chir., vol. Ixvi. p. : British Medical Journal, 1880, vol. ii. p. 916. SUPRAPUBIC DISLOCATIONS OF THE HIP. 827 Fig. 446. A case treated by Cooper and examined after death at theend of three weeks is reported in detail, hut it is not clear how muchof the laceration of the muscles was due to the dislocation and how-much to the repeated attempts to reduce it. The anterior part [ofthe capsule], where crossed by the tendons of the psoas and iliacusmuscles, was the only part untorn ; the head of the femur lay in thegroin on the inner side of the great vessels and above the internalcircumflex artery. In an old case examined by Sir Astley Cooper the head of thethigh bone had tor
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