A practical treatise on fractures and dislocations . nly those which are accom-panied with a complete rupture of the ilio-femoral ligament, but whoseclassification in that regard I am not fully prepared to adopt, Fi&- 303- has nevertheless given us themost intelligible and most pro-bable explanation of the me-chanism of these irregular up-wards dislocations, and of seve-ral other forms of irregular dis-locations. According to thiswriter, the anterior obliquedislocation, in which the limbis found greatly adducted, andat the same time strongly evert-ed, is a regular dorsal disloca-tion, the head
A practical treatise on fractures and dislocations . nly those which are accom-panied with a complete rupture of the ilio-femoral ligament, but whoseclassification in that regard I am not fully prepared to adopt, Fi&- 303- has nevertheless given us themost intelligible and most pro-bable explanation of the me-chanism of these irregular up-wards dislocations, and of seve-ral other forms of irregular dis-locations. According to thiswriter, the anterior obliquedislocation, in which the limbis found greatly adducted, andat the same time strongly evert-ed, is a regular dorsal disloca-tion, the head being advancedupon the dorsum to a point nearthe anterior margin of the now the limb be broughtdown, the neck of the femurwill be made to bear againstthe outer fibres of the ilio-femoral ligament, and as thesegradually give way the headwill become more and more hooked over the remaining fibres of theligament, and above the inferior spinous process ( supra-spinous);or, continued efforts being made to straighten the limb, the ligament44. Supra-spinous dislocation. (Bigelow.) 682 DISLOCATIONS OF THE THIGH. will give way entirely, and the femur will assume the position indi-cated by the dotted lines. Bigelow recommends a plan of treatment essentially the same asthat hitherto recommended by myself. The anterior oblique disloca-tion may be reduced by inward circumduction of the extended limbacross the symphysis, with a little eversion, if necessary, to disengagethe head of the bone. Inward rotation then converts this into thecommon luxation upon the dorsum. In the supraspinous disloca-tion, he recommends also inward circumduction, with as much ever-sion as may be necessary to disengage the head from the pelvis, bywhich the dislocation is at once converted into dorsal. 2. Dislocations Downwards and Backwards upon the Posterior Part of the Body of the Ischium, between its Tuberosity and its Spine. James 0 , set. 35, was admitted to the Pennsylvania Hospital on the 23d of Janu
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Keywords: ., bookcentury1800, bookdecade1870, booksubjec, booksubjectfractures
