Atlas and epitome of traumatic fractures and dislocations . howing a severe epiphysealseparation at the lower end of the tibia, with fracture of the fibulabefore and after reduction. Wilhelm P., sixteen years old, fell down-stairs and injured his right ankle. On admission (December 2, 1899)the leg presented extreme deformity as in a typical fracture of theankle. The diagnosis of epiphyseal separation was made by the char-acteristic symptoms and the skiagraph (Fig. 151 a). Reduction Avassuccessfully accomplished under anesthesia; recovery with very goodfunctional results. Skiagraph (Fig. 151 h)
Atlas and epitome of traumatic fractures and dislocations . howing a severe epiphysealseparation at the lower end of the tibia, with fracture of the fibulabefore and after reduction. Wilhelm P., sixteen years old, fell down-stairs and injured his right ankle. On admission (December 2, 1899)the leg presented extreme deformity as in a typical fracture of theankle. The diagnosis of epiphyseal separation was made by the char-acteristic symptoms and the skiagraph (Fig. 151 a). Reduction Avassuccessfully accomplished under anesthesia; recovery with very goodfunctional results. Skiagraph (Fig. 151 h). sometimes occurs during the forcible correction of severegrades of club-foot. The separation is recognized by thepresence of abnormal mobility above the region of theankle and by cartilage crepitus. The treatment demandscomplete rest and, later, exercises. 332 FRACTURES AND DISLOCATIOm. PLATE 67 b. Skiagraph of the Normal AstragaIo=tarsal Articulation and Tarsus; Lateral View. CaicaneiLsMalleolus laleralis SustenloMiltun taU Os cuboUteum Os mefatarscble. TiJiiaMaileoULs meduzlis Os ncLoiculare y^ \- Os cunciforme 1Os melatarsale J II. Isolated Fracture of the Tibia, and III. Isolated Fractureof the Fibula at their Lower Extremities These two classes include isolated supramalleolar andmalleolar fractures of one or the other of the two are produced indirectly in the same manner as thefractures of the ankle which have just been minutely de-scribed, except that the force required is less intense orthe application less prolonged. They may also be pro-duced by direct violence through the agency of a sharpbody striking the bone or by the individuaFs fallingagainst such a body. Tab. 67 b.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1902
