. A practical treatise on fractures and dislocations. )ture of the tibio-fibular ligament,and, as the movement continues, the torsion of the fibula produces anoblique fracture, the upper end of which is found three or four inchesabove the tip of the malleolus. If the movement is arrested in timefracture of the fibula may not occur. Experimentally, this can be easily Fig. The same ; showing backward riisi)laceinent. produced and the sequence of events accurately observed. Clinicallvit cannot be demonstrated so easily, for the patient can rarelv give adetailed account of the manner in whic
. A practical treatise on fractures and dislocations. )ture of the tibio-fibular ligament,and, as the movement continues, the torsion of the fibula produces anoblique fracture, the upper end of which is found three or four inchesabove the tip of the malleolus. If the movement is arrested in timefracture of the fibula may not occur. Experimentally, this can be easily Fig. The same ; showing backward riisi)laceinent. produced and the sequence of events accurately observed. Clinicallvit cannot be demonstrated so easily, for the patient can rarelv give adetailed account of the manner in which the injury was received, butin one of my cases the mechanism was evident : while the patient waskneeling on one knee, the foot resting on the hyperextended toes, hewas pressed backward so that his buttocks rested on and forct^d theankle inward, causing abduction of the front of the foot. The essen-tial lesion is the tibio-fibular diastasis, the rupture of those ligaments,and the consequent widening of the mortise within which the astrag-alus is held. Exceptionally the displacement of the foot and fibula may bo 442 316.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectfractur, bookyear1912
