A practical treatise on fractures and dislocations . tating thelimb inwards; by which means the reduction was Lente has seen the head of the femur in the same position as in thecase reported by Cummins, not as a primitive dislocation, but conse-quent upon an attempt to reduce a dislocation into the ischiatic shortening was about two inches; the limb very much rotatedoutwards; the rotundity of the affected hip greater than that of theother, and the trochanter major one inch farther removed from theanterior superior spinous process. The head of the bone could befelt dist
A practical treatise on fractures and dislocations . tating thelimb inwards; by which means the reduction was Lente has seen the head of the femur in the same position as in thecase reported by Cummins, not as a primitive dislocation, but conse-quent upon an attempt to reduce a dislocation into the ischiatic shortening was about two inches; the limb very much rotatedoutwards; the rotundity of the affected hip greater than that of theother, and the trochanter major one inch farther removed from theanterior superior spinous process. The head of the bone could befelt distinctly in its new position. The reduction was effected finally with pulleys, by the aid of chlo-roform, and by rotation of the limb in various Morgan also reports a case in which the head of the femur wasabove the acetabulum, and a little to the outside of the ilio-pectinealeminence3 (sub-spinous). In a majority of cases these dislocations have been reduced bymanipulation alone, or by manipulation aided by pressure. The limb Fiff. Anterior oblique dislocation. (From Bigelow.) should be seized in the usual manner, at the knee and ankle, car-ried up toward the face, abducted, then rotated inwards, gently ad-ducted, and finally brought down again to the bed. At the momentwhen the rotation and adduction commence, the head of the boneshould be pressed toward the socket by the hands, and, if necessary, 1 Cummins, Guys Hospital Reports, vol. iii. p. 163, 1838. 2 Lente, New York Journ. of Med., Nov. 1850, p. 314. 3 Pirries Surgery, p. 276. See also Phil. Med. Exam., No. 51, Mutters paper. ANOMALOUS DISLOCATIONS. 681 lifted a little over the margin of the acetabulum, by moderate exten-sion at a right angle with the body. Fiff. 302.
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