A practical treatise on fractures and dislocations . separated, in the same manner they would be if theywere not surrounded with many other structures which have sufferedlittle or no disruption: they pass each other, but do not separatewidely, being held together by shreds of periosteum, muscles, tendons,ligaments, &c. The same happens when this bone is broken just belowthe trochanters; the upper fragment lies always, or almost always, inimmediate contact with the lower, and whatever force is brought tobear upon the lower fragment more or less directly influences theupper; we can then by exten
A practical treatise on fractures and dislocations . separated, in the same manner they would be if theywere not surrounded with many other structures which have sufferedlittle or no disruption: they pass each other, but do not separatewidely, being held together by shreds of periosteum, muscles, tendons,ligaments, &c. The same happens when this bone is broken just belowthe trochanters; the upper fragment lies always, or almost always, inimmediate contact with the lower, and whatever force is brought tobear upon the lower fragment more or less directly influences theupper; we can then by extension, applied to the leg, draw down notonly the lower fragment, but we can drag into line the upper doubt in this attempt we shall meet with some resistance from themuscles above named; but experience has always shown that evenmoderate extension, applied steadily and without interruption, seldomor never fails to overcome the resistance of the most powerful constantly avail ourselves of this principle in overcoming the ab-. Fracture of femur just below trochan-ter minor. 416 PEACTUEES OF THE FEMUE. normal contraction of muscles in connection with diseased joints, inthe reduction of old dislocations, and in many other ways. Whatever the advocates of flexion in fractures of the femur maysay to the contrary, they are never able in this position to employextension and counter-extension. A careful examination of all thedouble-inclined planes which have been brought under my notice,including Nathan R. Smiths and Dr. Hodgens suspending apparatus,will convince any experienced observer that such is the fact. What-ever other excellences they may possess, this does not belong to extension is, of all the indications of treatment, that which is ofthe greatest importance in nearly all fractures of the thigh, and noless important in the upper third than in the lower. In fact, the higherwe ascend in the limb, the greater is the tendency to shorten, as mymeasureme
Size: 1169px × 2139px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1870, booksubjec, booksubjectfractures
