A practical treatise on fractures and dislocations . be entirely without Without intending to give my unqualified assent to these proposi-tions so ingeniously maintained by Rodet, I am nevertheless preparedto admit their general accuracy; and especially has my experience ledme to believe that falls upon the feet or knees in most cases produceintracapsular fractures, and that falls upon the outside of the hip, orupon the great trochanter, generally produce extracapsular are, however, frequent exceptions to this latter proposition. Es-pecially have I observed that in
A practical treatise on fractures and dislocations . be entirely without Without intending to give my unqualified assent to these proposi-tions so ingeniously maintained by Rodet, I am nevertheless preparedto admit their general accuracy; and especially has my experience ledme to believe that falls upon the feet or knees in most cases produceintracapsular fractures, and that falls upon the outside of the hip, orupon the great trochanter, generally produce extracapsular are, however, frequent exceptions to this latter proposition. Es-pecially have I observed that in persons over fifty years of age, orsomewhat advanced in life, a fall upon the trochanter has caused anintracapsular fracture. The following case, verified by an autopsy, isconclusive: A man, 75 years of age, was received at Bellevue March 24, stated that on the same day he had slipped and fallen upon thesidewalk, striking with great force upon the trochanter. The house 1 LExpe>ience, March 14, 1844. 372 FRACTURES OF THE FEMUR. Fig. Intracapsular fracture, caused by a fallupon the trochanter. surgeon, Dr. E. A. Lewis, examined the limb immediately on admis-sion, and diagnosticated an intracap-sular fracture. I saw him during theday and confirmed the diagnosis. Hewas feeble, but not suffering much,apparently, from shock or from and stimulants were adminis-tered, but no surgical treatment wasadopted. On the following morninghe was found to be sinking, and he diedbefore night. No complete autopsy wasobtained, and the cause of his death isundetermined. After death Drs. Den-nis and Isham repeated the examina-tion, and found the evidences of anintracapsular fracture very marked,including a slight crepitus and rotationof the trochanter upon a short accompanying woodcut, taken fromthe specimen now in the possession ofDr. Dennis, shows that the fracture was close to the head, and, ofcourse, entirely intracapsular. It was not impacted, and no absorptio
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
