. Radiography, X-ray therapeutics and radium therapy . shownon examination. The Neck of the Femur is frequently broken when, especially in oldpeople, there may be impaction. Traumatic coxa vara is a fairly commonoccurrence. Fracture through the Great Trochanter is also common. It maybe localised to the trochanter or may extend downwards obliquely into theshaft. Fractures of the Femur Fracture through the Shaft below the lesser trochanter is an injuryoften met with. Fractures of the Lower End. — (1) Transverse supra - condyloidfracture is practically identical withthat involving the lower third
. Radiography, X-ray therapeutics and radium therapy . shownon examination. The Neck of the Femur is frequently broken when, especially in oldpeople, there may be impaction. Traumatic coxa vara is a fairly commonoccurrence. Fracture through the Great Trochanter is also common. It maybe localised to the trochanter or may extend downwards obliquely into theshaft. Fractures of the Femur Fracture through the Shaft below the lesser trochanter is an injuryoften met with. Fractures of the Lower End. — (1) Transverse supra - condyloidfracture is practically identical withthat involving the lower third of thefemur. (2) T- or Y-shaped fracture of thecondyles. In this a transverse frac-ture is complicated by a fissurewhich runs into the joint, separatingthe two condyles. (3) Separation of either condylealways results from direct violence,the line of fracture being oblique. (4) The lower epiphysis of thefemur is separated from the shaft inyoung people. (5) Longitudinal and spiral frac-tures running down to the knee-joint are met with in the Fig. 140.—Fracture through shafts ofboth femora. The fracture is comminuted on the left side. Fractures of the Patella These may vary from mere fissures to complete fracture with wideseparation at the line of fracture. The partial fracture is the one which it ismost important to recognise. A lateral view of the knee-joint is the mostuseful position in which to radiograph the joint for its recognition. Fractures of the Bones of the Leg The tibia and fibula may be involved when there is a fracture of thelower end of the femur ; they may be broken together or either bone by 166 RADIOGRAPHY itself. Fractures of the shaft of the tibia and fibula may vary from a finecrack to a marked degree of fracture, with displacement of the tibia is frequently the seat of a spiral fracture. The fibula only may befractured, when there is no marked displacement or external sign of fracture. Potts Fracture. Fractures in the Neighbourhood
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