A practical treatise on fractures and dislocations . e case reported by Waechter1 may be given as an illus-trative example. A man 71 years old, fell upon his left hip;there was no sign of contusion and no crepitus. Outwardrotation alone caused pain. Subsequently the limb becameflexed, rotated inward and adducted. Four weeks after theaccident he died of pneumonia. The upper and inner por-tion of the trochanter was separated by a line of fracturewhich lay entirely outside the joint, beginning close by theupper edge of the insertion of the capsule, running down-ward and outward, and then up acros
A practical treatise on fractures and dislocations . e case reported by Waechter1 may be given as an illus-trative example. A man 71 years old, fell upon his left hip;there was no sign of contusion and no crepitus. Outwardrotation alone caused pain. Subsequently the limb becameflexed, rotated inward and adducted. Four weeks after theaccident he died of pneumonia. The upper and inner por-tion of the trochanter was separated by a line of fracturewhich lay entirely outside the joint, beginning close by theupper edge of the insertion of the capsule, running down-ward and outward, and then up across the top of the tro-chanter. The fragment, which was split into two pieces thatwere slightly movable on each other, was slightly displacedbackward and inward, and the periosteum was torn in front,but not on the outer side. The tendons of the pyriformis,obturator internis and gemelli, and the anterior fibres of thegluteus medius, and upper fibres of the glutseus minimus remained attachedto the fragment. 1 Deutsche Zeit. fur Chirurgie, 1877, p. Fracture of the tro-chanter major. FRACTURES OF THE TROCHANTER MAJOR. 881 I have also myself reported one example of this fracture as havingcome undermy own observation. The patient, J. R., set. 23, fell from a high wagon, strikingupon his left hip. When he got upon his feet, he found himself unable to walk,and was carried to his room. Fourteen days after the accident I saw the patientwith Dr. Wilcox. The thigh was not appreciably shortened, nor was there anyeversion or inversion; but the epiphysis of the trochanter major was carriedupward toward the crest of the ilium half an inch, and slightly sent in. Nocrepitus could be detected. The splint was continued five weeks; and about amonth after, I found the fragment in the same place, but he was able to walkwith only a slight halt. (c) Separation of the Epiphysis of the Trochanter Major.—[Separa-tion of the epiphysis of the trochanter in young persons is a rare is more o
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