. A practical treatise on fractures and dislocations. duced, and thepatient did well for a week ; then it was noticed that the foot was lividand cold. Two days later blebs had appeared upon it, and the discol-oration had advanced upon the leg; three days later the signs of gan-grene were marked, and the limb was then amputated above the inner and middle coats of the popliteal artery, which were ather-omatous, were torn about an inch above its bifurcation, and curledinward ; the vessel was plugged by a firm clot. Le Dentus patient, a man twenty-seven years old, was caught inthe belt of
. A practical treatise on fractures and dislocations. duced, and thepatient did well for a week ; then it was noticed that the foot was lividand cold. Two days later blebs had appeared upon it, and the discol-oration had advanced upon the leg; three days later the signs of gan-grene were marked, and the limb was then amputated above the inner and middle coats of the popliteal artery, which were ather-omatous, were torn about an inch above its bifurcation, and curledinward ; the vessel was plugged by a firm clot. Le Dentus patient, a man twenty-seven years old, was caught inthe belt of machinery and whirled around rapidly, his legs striking 1 Volkmann : Beitrage, zur Chir., p. 119. 2 Albert: Wiener med. Presse, 1872. 3 Birkett: Lancet, 1850, vol. ii. p. 703. 4 Annandale : Lancet, 1881, vol. ii. p. 903. 5 Brittain : London Medical Gazette, 1836, vol. xviii. p. 257. 6 Madelung : Berlin, klin. Wochenschrift, 1873. 7 Spillmann : Diet, encyclop. des Sc. Med., art. Genou, p. 600. 8 Le Dentu: Bull, de la Soc. de Chirurgie, 1880, p. 780 DISLOCATIONS. each time against the ceiling; he received a complete dislocation for-ward of the right knee, and a complete backward dislocation of theleft one ; the latter was reduced immediately, the former on the nextday. On the nineteenth day the patient complained of sharp pain inboth legs, and on examination an eschar as large as a fifty-cent piecewas found on the left calf, and another over the right tendo Achillis;the former healed promptly, the latter increased, and part of the tendonsloughed. The pain became very severe in the right leg, it was neu-ralgic in character, a sensation of numbness with darting pain in thefoot and sometimes in the leg, recurring especially at night. It per-sisted until the thirty-fifth day, and returned a week later. On theforty-fifth day another eschar appeared on the sole of the right footopposite to the head of the first metatarsal bone. Sensation, whichhad previously been dulled in front
Size: 2103px × 1189px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookpublishernewyork, booksubjec
