. An analytical compendium of the various branches of medical science, for the use and examination of students. Anatomy; Physiology; Surgery; Obstetrics; Medicine; Materia Medica. FRACTURE OP THE FEMUR. 45 Fig. motion. The arc which the trochanter, upon rotation, will describe, will be of a much smal- ler circle than that described by the rotation of its fellow. Union is possible, but improbable; on ac- count of the difficulty of coaptating the frag- ments, the want of provisional callus, the frac- tured extremities being bathed in an increased quantity of synovia, and the feeble nutrition
. An analytical compendium of the various branches of medical science, for the use and examination of students. Anatomy; Physiology; Surgery; Obstetrics; Medicine; Materia Medica. FRACTURE OP THE FEMUR. 45 Fig. motion. The arc which the trochanter, upon rotation, will describe, will be of a much smal- ler circle than that described by the rotation of its fellow. Union is possible, but improbable; on ac- count of the difficulty of coaptating the frag- ments, the want of provisional callus, the frac- tured extremities being bathed in an increased quantity of synovia, and the feeble nutrition of the head of the bone through the round ligament. Yet, in a young person of good constitution, where the periosteum is not com- pletely severed, there may be bony union. Ordinarily there results a false joint, thicken- ing of the capsule, partial absorption of the fragments, and the patient is lame for life, and requires a stick or crutch. Feeble old women may die from the shock of the injury or from the irritation of pain and confine- ment. Treatment.—Extension and splints are un- necessary—the limb should be supported by pillows, and motion restrained. Care should be taken with reference to bedsores, sloughs, &c. The 7ieck may be fractured partly wi'thin and partly without the capsule, in which case the prospect of union is much more favour- able. Or, the extremity of one fragment may be driven into the cancellated structure of the other, constituting an impacted fracture ; in these cases, crepitus is obscure, the displacement is slight, and there is considerable power and motion of the limb, and but little shortening and eversion. They are produced by great direct force, and are attended with great pain, swelling and constitutional dis- turbance. The treatment may be successful in many instances, without the use of splints. The trochanter major may be fractured; the process is drawn upwards by the glutei muscles, and a space can be felt between the fragments. Appr
Size: 988px × 2529px
Photo credit: © Library Book Collection / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., booksubjectmateriamedica, booksubjectmedi, booksubjectphysiology
