. Medical and surgical reports. Case 8 (1).- Showing lower end of femur 6 yearsafter injury. mechanical obstacle. By flexion of the knee joint this bandwill become relaxed, and may by proper manipulation be workedout of its position of interference with reduction. Symptoms and Diagnosis.— Any case of injury to the kneein a patient below twenty (the age of ossification of the epi-physis) is suggestive of epiphyseal separation. In the classicalcase the appearance is that of a fracture of the lower end of thefemur with certain distinctive features; namely, the marked SEPARATION OF FEMORAL EPIPHYS
. Medical and surgical reports. Case 8 (1).- Showing lower end of femur 6 yearsafter injury. mechanical obstacle. By flexion of the knee joint this bandwill become relaxed, and may by proper manipulation be workedout of its position of interference with reduction. Symptoms and Diagnosis.— Any case of injury to the kneein a patient below twenty (the age of ossification of the epi-physis) is suggestive of epiphyseal separation. In the classicalcase the appearance is that of a fracture of the lower end of thefemur with certain distinctive features; namely, the marked SEPARATION OF FEMORAL III. 201. Cahe 8 (2;.— Doforiuity und shorLoiiing duo to cpipliysoal separation S years after injury. 202 SEPARATION OF FEMORAL EPIPHYSIS. prominence in the region of the patella with a transversedepression across the thigh just above the patella, the secondpathognomonic sign being the bonj^ prominence in the poplit-eal space, caused by the backward projection of the lower endof the diaphysis. Mobility just above the knee joint and asoft crepitus, if present, are suggestive. While in the mildercases with little or no displacement there is no evidence ofpressure on popliteal vessels, this condition should be borne in PIATE IV.
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Keywords: ., bookcentury1800, bookdecade1860, bookpublisherbosto, bookyear1864
