. A practical treatise on fractures and dislocations. d are separations of the epiphysis and that co:j^a varais a frequent result. * Bousseau : Bulletins do la Sociote Anatomique, 1867. p. 2S3. 2 Kocher: Praktisclv wichtiger Fraktnrformeu, 189(). pp. 2aS and OirJ.^ Poland : Traumatic Separation ot tlie E])iphyses, p. (J-JS. * Whitman : Annals of Surgerv, February, 1900, p. 151. See alsi) Med. Xo^ys, Septem-ber 24, 1904. ^Ramstedt: Arch. fiir. klin. vol. Ixi. part 3. 360 FRACTURES. Since the use of the rr-rays has become general, observations of thisinjury have accumulated, but without e
. A practical treatise on fractures and dislocations. d are separations of the epiphysis and that co:j^a varais a frequent result. * Bousseau : Bulletins do la Sociote Anatomique, 1867. p. 2S3. 2 Kocher: Praktisclv wichtiger Fraktnrformeu, 189(). pp. 2aS and OirJ.^ Poland : Traumatic Separation ot tlie E])iphyses, p. (J-JS. * Whitman : Annals of Surgerv, February, 1900, p. 151. See alsi) Med. Xo^ys, Septem-ber 24, 1904. ^Ramstedt: Arch. fiir. klin. vol. Ixi. part 3. 360 FRACTURES. Since the use of the rr-rays has become general, observations of thisinjury have accumulated, but without entirely removing the possibleconfusion of it with fracture of the neck close to the head. Severalauthors believe it to be the cause of most, perhaps all, of the observedcases of coxa vara.^ It certainly is frequent enough to make it im-portant to bear its possible presence in mind in the examination ofinjuries of the region in the young, if they are accompanied by pain,more or less disability, and limitation of motion, especially in abduc- FiG. Impacted fracture at the base of the cervix femoris, with bending of the head backward. (BlGELOW.) tion and inward rotation. Diminished adduction, coxa valga, thoughrare, is occasionally seen. Notwithstanding the lack of control of theproximal fragment, forcible correction by abduction and inward rota-tion (Sprengel, Ztthlatt. fur Chir,, 1909, p. 1745) has yielded some sat-isfactory results. (c) Fractures at the Base of the Neck. (Extracapsular and mixedfractures). The line of fracture follows ordinarily the junction of theneck and shaft quite closely—that is, it coincides with the spiral line infront and the intertrochanteric line behind as they pass between thegreat and lesser trochanters. It may extend downward and detach the »Fettig: Arch, fiir klin. Chir., 1909, vol. Ixxxix. p. 912. FRACTURES OF THE FEMUR. 361 Fig. 234. Fig. 235.
Size: 1209px × 2066px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectfractur, bookyear1912
