. Roentgen interpretation; a manual for students and practitioners . joint. The spine of thetibia may be evulsed; the patella may sustain a transverse breakwith wide separation of the fragments or it may suffer a stellatefracture or shelving fractures of the upper or lower margins as aresult of division of the attachment of the patellar tendon. —These fractures occur anywhere in the neck of the femurbetween the head and intertrochanteric line. ^^ hen there is any dis-placement of the fragments, there will be a disturbance of Shentonsline, which is a smooth, regular curve formed by the upp


. Roentgen interpretation; a manual for students and practitioners . joint. The spine of thetibia may be evulsed; the patella may sustain a transverse breakwith wide separation of the fragments or it may suffer a stellatefracture or shelving fractures of the upper or lower margins as aresult of division of the attachment of the patellar tendon. —These fractures occur anywhere in the neck of the femurbetween the head and intertrochanteric line. ^^ hen there is any dis-placement of the fragments, there will be a disturbance of Shentonsline, which is a smooth, regular curve formed by the upper marginof the obturator foramen, the inferior border of the neck of thefemur and the inner margin of the shaft. In the prognosis of hip fractures the possibility of failure of unionand of absorption of the head of the femur must always be kept Fig. 22.—Double congenital dislocation of the hip. DISLOCATIONS. Dislocations of the spine are usually accompanied by are most common in the cervical region. The first cervicalvertebra may be displaced backward on the second with fractureof the odontoid or, more rarely, rotated upon the second withoutfracture of the odontoid. The most frequent injury is a forwarddisplacement of the upper cervical vertebrae upon the ones belowin the region of the third to the seventh. 46 FRACTURES AND DISLOCATIONS


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