A practical treatise on fractures and dislocations . but in the second example (Case 9), a similar manoeuvre carriedthe head across into the ischiatic notch, while the reduction was finally accom-plished by rotating the thigh outward, and at the same moment adducting thelimb strongly in a direction which carried the knee behind the other concludes that the latter mode is preferable, because it will throw thehead of the bone a little upward as well as outward ; in which direction it willfind a more gently inclined plane toward the socket. He admits, however, thatboth methods may acco
A practical treatise on fractures and dislocations . but in the second example (Case 9), a similar manoeuvre carriedthe head across into the ischiatic notch, while the reduction was finally accom-plished by rotating the thigh outward, and at the same moment adducting thelimb strongly in a direction which carried the knee behind the other concludes that the latter mode is preferable, because it will throw thehead of the bone a little upward as well as outward ; in which direction it willfind a more gently inclined plane toward the socket. He admits, however, thatboth methods may accomplish the same result. But I am quite certain that themethod by rotation of the shaft of the femur inward is in general most likely tosucceed. In this way also, I think, both W. H. Van Buren, of New York,1 andE. L. Brodie, of the U. S. Army, were successful ;2 it is the method preferred byBigelow, who also recognizes the propriety of making outward rotation wheninward rotation fails. Flex the limb toward a perpendicular, and abduct it a Fig. Reduction of thyroid dislocation by manipulation. (From Bigelow.) little to disengage the head of the bone; then rotate the thigh strongly inward,adducting, and carrying the knee to the floor. It is especially worthy of noticethat Anderson, so long ago as 1772, in the case already quoted, practised success-fully almost precisely the same method. In one example mentioned by Markoe(Case 7), it is pretty evident that the head of the femur was thrown into theischiatic notch, by having flexed the thigh too much, so that the knee touchedthe thorax. Indeed, it is questionable whether it will be best ever to bring thethigh much, if at all, above a right angle with the body, since any furtherflexion can only throw the head below the acetabulum, when in fact it is alreadytoo low. N. S., a painter, a?t. 33, fell from the second-story window upon a stone pave-ment, striking, as he believes upon the inside of his right knee. I saw himwithin an ho
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