A practical treatise on fractures and dislocations . length with the other; the but-tock was flattened, and the motions of thejoint were tolerably free but If the supposed dislocation occurs in achild, or in a person under ten years of age,we ought to take especial pains to ascertainthat it is not a separation of the epiphysis,of which accident we have mentioned someexamples when speaking of fractures of theneck of the femur. Examples have occasionally been re-ported of everted dorsal dislocations, inwhich most of the usual signs of a dorsaldislocation are present, except that the li
A practical treatise on fractures and dislocations . length with the other; the but-tock was flattened, and the motions of thejoint were tolerably free but If the supposed dislocation occurs in achild, or in a person under ten years of age,we ought to take especial pains to ascertainthat it is not a separation of the epiphysis,of which accident we have mentioned someexamples when speaking of fractures of theneck of the femur. Examples have occasionally been re-ported of everted dorsal dislocations, inwhich most of the usual signs of a dorsaldislocation are present, except that the limbis everted, and sometimes slightly attributes this condition to a rup-ture of the outer fibres of the ilio-fernoralligament, and he affirms that under thesecircumstances the limb may be found in-verted, but it is also easily everted; thefoot may be slightly everted, it may lie flatupon the bed, or it may even point back-wards. Everted dorsal dislocation. (Bige- m, , p , 1 , -1 i -it iow , The treatment ot the everted dorsal dis-. 1 Norris, Amer. Journ. Med. Sci., vol. xxv. p. 280. UPWARDS AND BACKWARDS ON THE DORSUM ILII. 641 location consists in reducing it first to an ordinary dorsal dislocationby flexion and rotation inwards, aided by adduction, if necessary. Prognosis.—Boyer says the limb remains always weaker than theother, the round ligament never uniting completely ; and that inflam-mation of the cartilages and synovial glands may ensue, ending incaries of the joint. Such results have, indeed, been occasionally metwith, nor are examples wanting in which more rapid inflammation,resulting in the formation of acute abscesses, has followed, but these areonly rare accidents. In the large majority of cases the patients recoverspeedily, and in the course of a few weeks, or months at most, thelimb seems to be as sound and as useful as before. Examples of non-reduction, however, from an error of diagnosis, or,what is more pertinent to our present purpose, fro
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