. A practical treatise on fractures and dislocations. ete form the deformity is less marked, and the diagnosismay be difficult if the region is swollen. The limb may be fixed in its position, or it may be movable in anydirection, hyperextension, flexion to a right angle, or laterally. If the skin is broken the rent is transverse and posterior, and 1 Cooper: Loc. cit., p. 187. ^ Knicliynicki : Allg. Wiener iiicd. Zeituiig, 187o, vol. xviii. p, 255. 3 Lowe : St. Bartholomews Hospital Reports, 1869, vol. v. p. 80. ^ Vevers: Lancet, 1869. vol. ii. p. 542. !> Davis : Philadelphia INIedical Times
. A practical treatise on fractures and dislocations. ete form the deformity is less marked, and the diagnosismay be difficult if the region is swollen. The limb may be fixed in its position, or it may be movable in anydirection, hyperextension, flexion to a right angle, or laterally. If the skin is broken the rent is transverse and posterior, and 1 Cooper: Loc. cit., p. 187. ^ Knicliynicki : Allg. Wiener iiicd. Zeituiig, 187o, vol. xviii. p, 255. 3 Lowe : St. Bartholomews Hospital Reports, 1869, vol. v. p. 80. ^ Vevers: Lancet, 1869. vol. ii. p. 542. !> Davis : Philadelphia INIedical Times, 1876-77. vol. vii. p. 070. •* Hixon : North American Medico-Chirurgical Review, 1858, vol. ii. p. 76. Volkmann: Beitnige /ur Chir., p. 119. 8 Albert: Wiener med. Presse. 1872. 9 Birkett: Lancet, 1850, vol. ii. p. 703. 1 Annandale: Lancet, 1881, vol. ii. p. 903. ^ r>rittain-, London Medical (iazette, 18;>(», vol. xviii. p. 257. 1^ Madelung: Berlin, klin. Wochenschrifl, 1873. 1^ Spillmann : Diet, eucyclop. des 8c. Med., art. (.umou, p. 600,. 864 DISLOCATIONS. through it one or both condvles may project, or the finger can be readily passed into the joint. Thel^iG. 4o0. main vessels and the internal pop- ^^^If^ liteal nerve commonly lie in the intercondylar notch, and maysometimes be plainly visible. Injury to, or compression of, the artery is shown by the loss of pulsation in the arteries of the ^ foot and ankle; injury to the External condyle of femur -? ^^^^^^ . j^^^ ^^ scnsatiou Or Anterior dislocation of the knee. numbncss, and, later, by changes due to defective nutrition of the limb and by pain, sometimes severe. The course after injury to the artery is well shown in the report ofAnnandales case, that after injury to the nerve in Le Dentus.^Annandales patient complained that the foot felt cold, but sensationin the toes was normal; the dislocation was easily reduced, and thepatient did well for a week ; then it was noticed that the foot was lividand cold. Two days
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