A practical treatise on fractures and dislocations . thigh in certain cases. Dr. Bigelow sug-Fiff. 285. gests that where greater force is required than canbe obtained by the usualmethods, a tripod shouldbe employed, as shown inthe accompanying wood-cut. The following case, re-ported to me by Dr. , of Catskill, ,illustrates the occasionalnecessity of resorting toextension, and is of specialinterest on account of theextreme youth of the pa-tient. I have referred tothe same case once little girl, two and ahalf years old, was caughtunder a falling door onthe 24th of May, 1867
A practical treatise on fractures and dislocations . thigh in certain cases. Dr. Bigelow sug-Fiff. 285. gests that where greater force is required than canbe obtained by the usualmethods, a tripod shouldbe employed, as shown inthe accompanying wood-cut. The following case, re-ported to me by Dr. , of Catskill, ,illustrates the occasionalnecessity of resorting toextension, and is of specialinterest on account of theextreme youth of the pa-tient. I have referred tothe same case once little girl, two and ahalf years old, was caughtunder a falling door onthe 24th of May, 1867,but her parents suspectedno injury beyond a severebruise until ten days later,when they consulted The left femurwas then found to be dislocated upon the dorsum ilii. Dr. Fanningattempted first to reduce the dislocation by manipulation, but he then directed the father to make extension by the legs, while themother made counter-extension by seizing the child under the arms,and thus he soon succeeded in effecting the Tripod for vertical extension. (Bigelow.) § 2. Dislocations Upwards and Backwards into the Great Ischiatic Notch. Syn.—Upwards and backwards into the ischiatic notch ; Sir A. Cooper. Up-wards and backwards into the great sacro-sciatic notch; Lizars. Backwardsinto the sacro-sciatic foramen ; S. Cooper. Backwards into the ischiatic notch ;Liston, B. Cooper, Miller, Pirrie, Erichsen, Skey, Gibson. Downwards and out-wards on the os ischium; Boyer, Dorsey. Backwards and downwards intothe ischiatic notch ; Chelius, Petit, Duverney. Upon the ischium ; ; Gerdy. Ischiatic; Malgaigne. Dorsal below the tendon;Bigelow. Boyer considers this dislocation as only secondary upon a disloca-tion upon the dorsum ilii; but it is very certain that it often occursas a primary accident. Not unfrequently, also, what was primarily a UPWARDS AND BACKWARDS INTO ISCHIATIC NOTCH. 661 dislocation into the ischiatic notch, becomes subseque
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