Journal of the Medical Society of New Jersey . extensive posteriorly; ex-ternal condyle fragment unreduced because ofpossible injury to nerves and vessels duringreduction; operation performed at time of in-jury. to produce a fracture or a dislocation, or insome cases, both combined. In referring to the young or inexperiencedphysician, I am not claiming for myself anunusual experience in this class of cases,but I am trying to convey the impression ofa lack on the part of the profession in gen-eral to appreciate the liability and risk toboth patient and surgeon in the treatmentof even what we kn
Journal of the Medical Society of New Jersey . extensive posteriorly; ex-ternal condyle fragment unreduced because ofpossible injury to nerves and vessels duringreduction; operation performed at time of in-jury. to produce a fracture or a dislocation, or insome cases, both combined. In referring to the young or inexperiencedphysician, I am not claiming for myself anunusual experience in this class of cases,but I am trying to convey the impression ofa lack on the part of the profession in gen-eral to appreciate the liability and risk toboth patient and surgeon in the treatmentof even what we know is a simple fracture or dislocation, to say nothing of the com-plicated cases of injuries and diseases, andthat we too often take upon ourselves thisresponsibility without being fortified by theadvice of some other physician or surgeon.*Of the legal cases in which members ofthe medical profession have to be defend-ants, a very large percentage are broughton account of deformity or incapacity, re-sulting from the conditions upon which this. Fig. 1. (a) paper is founded. Curiously enough, thisdangerous field has been rather inadequate-ly surveyed. A century ago, more or less, apeculiarly acute group of observers, mainlyEnglish with a few Germans and French,wrote on this subject most then, we have largely copied old data,save for the excellent work of Gurlt, ofHamilton and later of Stimpson. A decadeago, the X-ray came to our aid, and wemight say sometimes to our confusion. We •Dr. Frederic J. Cotton on Dislocations and JointFractures. JUN E, 1914 Journal of the Medical Society of New Jersey. 273 are fortunate to-day in not only having theX-ray as an accessory of diagnosis, but inhaving as a result* of this diagnosticmethod and of a vast array of observationsmade directly at operation, material for de-ductions, not accessible to a previous gen-eration. Wisdom did not begin with thisgeneration, but we have an unusual oppor-tunity to learn. Our opportunities in
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