. A practical treatise on fractures and dislocations. e trochanter, or the neck may be 1 Bigelow: The Hip, p. 118, and Boston Medical and Surgical Journal. vol. 1, 29. 364 FRACTURES. driven bodily into the trochanter witliout much change of direction,and may even penetrate to the opposite wall. In exceptional cases the lower fragment may penetratethe upper one. The splitting of the trochantermay be limited to one or two piecesbroken off its posterior border (), or it may be very general (). The extent of the splittingseems to be independent of the forcethat caused


. A practical treatise on fractures and dislocations. e trochanter, or the neck may be 1 Bigelow: The Hip, p. 118, and Boston Medical and Surgical Journal. vol. 1, 29. 364 FRACTURES. driven bodily into the trochanter witliout much change of direction,and may even penetrate to the opposite wall. In exceptional cases the lower fragment may penetratethe upper one. The splitting of the trochantermay be limited to one or two piecesbroken off its posterior border (), or it may be very general (). The extent of the splittingseems to be independent of the forcethat caused the fracture, extensivecomminution being sometimes pro-duced by a simple fall while walk-ing, as in Fig. 236, which is drawnfrom one of my own specimens. Oc-casionally the unbroken trochantermav be whollv detached from bothneck and shaft (Fig. 243). In a few cases the angular dis-placement of the neck has been inthe opposite direction, so that the limb has been rotated inward insteadof outward. R. W. Smith ^ describes one such specimen, and Bigelow. Total separation of great trochanter.(Frangenhkim.) Fig. 244. Fig. 245.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectfractur, bookyear1912