. A practical treatise on fractures and dislocations . Symptoms.—The symptoms which characterize a transverse fractureof the patella are sufficiently diagnostic. The fragments are separatedfrom each other, the superior fragment being drawn upwards more orless, according to the power and activity of the muscles, or the deo-reeto which the ligamentous covering of the patella has been torn. In A. Cooper, On disloc, &c, op. cit., p. 232. 440 FRACTURES OF THE PATELLA. Fig. Fragments separated by flexion of theknee. some cases, also, the violent flexion of the knee, Fig. 178, has completedthe
. A practical treatise on fractures and dislocations . Symptoms.—The symptoms which characterize a transverse fractureof the patella are sufficiently diagnostic. The fragments are separatedfrom each other, the superior fragment being drawn upwards more orless, according to the power and activity of the muscles, or the deo-reeto which the ligamentous covering of the patella has been torn. In A. Cooper, On disloc, &c, op. cit., p. 232. 440 FRACTURES OF THE PATELLA. Fig. Fragments separated by flexion of theknee. some cases, also, the violent flexion of the knee, Fig. 178, has completedthe separation which otherwise might have been only partial. Bypassing the finger along the anterior surface of the limb with a moderate degree of firmness, the depression betweenthe fragments will be made manifest. No crepitus can be expected unless thefragments remain in contact, a conditionwhich is very unusual. The patient isunable to stand, and especially is the powerof extending the leg upon the thigh com-pletely lost. Usually a good deal of swell-ing immediately succeeds the accident, andafter a time the skin becomes more or lessdiscolored from effusions of blood. If thefracture is longitudinal or oblique, a slightlateral separation is usually present, butnot always very easily —One of my patients, who had a comminuted fracture,with other serious injuries, died, but not as a consequence of the frac-ture. In the following case the fragments ap
Size: 1584px × 1578px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1860, booksu, booksubjectfracturesbone
