. A practical treatise on fractures and dislocations. excised ; it wasfound thickly enveloped in fibrous tis-sue, to which the appearance of thick-ening was due, and had lost from itsinner side a flat, wedge-shaped piececonstituting about one-sixth of its di-ameter. The fragment wras found ad-herent to the capsule and was also removed. Recovery took placewithout accident, and the mobility of the joint steadily increased forsome time. At the time of the report, nine years later, flexion couldbe made to an angle of 80 degrees, extension to 150 degrees, pronationwas almost normal, supination some


. A practical treatise on fractures and dislocations. excised ; it wasfound thickly enveloped in fibrous tis-sue, to which the appearance of thick-ening was due, and had lost from itsinner side a flat, wedge-shaped piececonstituting about one-sixth of its di-ameter. The fragment wras found ad-herent to the capsule and was also removed. Recovery took placewithout accident, and the mobility of the joint steadily increased forsome time. At the time of the report, nine years later, flexion couldbe made to an angle of 80 degrees, extension to 150 degrees, pronationwas almost normal, supination somewhat restricted. In the second case, a man, twenty-six years old, was injured in the Billroth, Chirurgie, vol. iv. Part II. B. p. 92; Pingaud, Diet. Encyclop. des Sc. Med., ; Wagner, Beilage zum Centbl. fur Chir., 1886, No. 24, p. 93; Lohker, ibid., p. 92;Bartels, Arch, fur klin. Chir., 1874, vol. xvi. p. 643; Schroter, ibid., vol. xlvi. p. and Chedieus cases, quoted by Malgaigne, seem to belong among theanterior Dislocation of the head of the radiusoutward; the trochlea is much broadened.(Nelaton.) DISLOCATIONS OF THE RADIUS alone. 659 same manner, and was seen while bhe injury was fresh. Reduetionwas effected, after several unsuccessful attempts, by, first, adduction ofthe flexed limb, then by the utmost possible abduction, with supina-tion, of the completely extended limb, combined with pressure upon the head of the radius. When the dressings were- removed, :i monthlater, passive movements were wry painful and limited, and, ;i- noimprovement followed, excision was done five months after the head of the radius was found thickened and absolutely fixed, andthe fragment reunited to it by a loose fibrous union; the failure ofunion was attributed to the interposition of a small piece of the artic-ular cartilage. Recovery followed without accident, but the mobilityof the joint was not increased. In the third case the patient had re


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