A practical treatise on fractures and dislocations . lative position of the wholelimb must have existed; and in my remarkson fractures of the neck wTithin the capsule, Ihave referred to several examples, some ofwhich were probably extracapsular. The trochanter major usually seems de-pressed or driven in; and when the two mainfragments are completely separated, if thelimb is rotated, the trochanter will be foundto turn almost upon its own axis, or upon avery short radius. In enumerating the signs of extracapsularfracture, it will be seen that I have, with onlyslight variations, repeated the sig
A practical treatise on fractures and dislocations . lative position of the wholelimb must have existed; and in my remarkson fractures of the neck wTithin the capsule, Ihave referred to several examples, some ofwhich were probably extracapsular. The trochanter major usually seems de-pressed or driven in; and when the two mainfragments are completely separated, if thelimb is rotated, the trochanter will be foundto turn almost upon its own axis, or upon avery short radius. In enumerating the signs of extracapsularfracture, it will be seen that I have, with onlyslight variations, repeated the signs of a frac-ture within the capsule. It will become nec-essary, therefore, to indicate, as far as possi-ble, a differential diagnosis. And withoutpretending that all of the differential signswhich I shall enumerate are thoroughly estab-lished, or that in every case, even after a careful grouping of all thesymptoms, a satisfactory diagnosis can be made out, I shall state brieflymy own conclusions, or rather what seem to me to be the probable Fracture of the neck of the femur.(Fergusson.) Signs of a fracture within the CAPSULE. Produced often by slight fall upon the foot or knee, or aupon the carpet, etc. Generally over fifty years of frequent in females. trip Pain, tenderness, and swelling less anddeeper. Signs of a fracture without the CAPSULE. Produced usually by greater fall upon the trochanter major. Often under fifty years of age. Relative frequency in males or femalesnot established. Pain, swelling, and tenderness greaterand more superficial. It is especiallypainful to press upon and around thetrochanter. 398 FRACTURES OF THE FEMUR. Signs of a fracture within thecapsule [continued). (The two following measurements tobe made from the anterior superior spin-ous process of the ilium to the lower ex-tremity of the malleolus externus or in-ternus.) Shortening at first less than in extra-capsular fractures, often not any. Shortening after
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
