. The American journal of roentgenology, radium therapy and nuclear medicine . n of complete flexion andextension; pronation and supination nor-mal; neither crepitus nor abnormal mobil- arm; tenderness over the upper end of theshaft of the humerus; disinclination to usethe arm; no crepitus or abnormal signs in children should always ex-cite suspicion of this type of fracture. Apositive diagnosis can only be made fromthe .x-ray plate. (Fig. 8.) No. 9.—Fracture of the Greater Tuber-osity of the Humerus. Etiology.—Direct violence or musclepull by the external rotators, which areatt


. The American journal of roentgenology, radium therapy and nuclear medicine . n of complete flexion andextension; pronation and supination nor-mal; neither crepitus nor abnormal mobil- arm; tenderness over the upper end of theshaft of the humerus; disinclination to usethe arm; no crepitus or abnormal signs in children should always ex-cite suspicion of this type of fracture. Apositive diagnosis can only be made fromthe .x-ray plate. (Fig. 8.) No. 9.—Fracture of the Greater Tuber-osity of the Humerus. Etiology.—Direct violence or musclepull by the external rotators, which areattached to the greater tuberosity. Signs and Symptoms.—Loss of externalrotation, tenderness over the greater tuber- 502 Rarer Types of Fractures osity; sometimes thickening; rarely crep-itus; head of humerus moves with theshaft. A positive diagnosis of this fracture,when only a small portion is broken and pain and loss of function of the hip for ashort time, after which the patient maywalk about with very little immediate dis-ability except a slight limp. They are often. Fig. 10. of the Neck of the i\e.\rThe Epiphyseal Line. not widely separated, can be made onlyby the .x-ray plate. (Fig. 9.) No. 10.—Fracture of the Neck of theFemur in Children. This type differs inmany respects from the same lesion inadults.


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