. A practical treatise on fractures and dislocations. Fracture with absorption of the neck. can walk well without th( of or crutch (Fig. 252). 1 Stimson : Doubtful Fractures of the Neck of the Femur and their Identity with anAlleged Form of Arthritis Deformans, New York Medical Journal, April 14, 186^. 368 FRACTURES. The cavity of the joint is sometimes diminished by an adhesive syno-vitis which, aided by peri-articular thickening and retraction and by theabove-mentioned osteophytic growths, greatly restricts its mobility. Occasionally the limb, after either form of fracture, remains useless,a
. A practical treatise on fractures and dislocations. Fracture with absorption of the neck. can walk well without th( of or crutch (Fig. 252). 1 Stimson : Doubtful Fractures of the Neck of the Femur and their Identity with anAlleged Form of Arthritis Deformans, New York Medical Journal, April 14, 186^. 368 FRACTURES. The cavity of the joint is sometimes diminished by an adhesive syno-vitis which, aided by peri-articular thickening and retraction and by theabove-mentioned osteophytic growths, greatly restricts its mobility. Occasionally the limb, after either form of fracture, remains useless,and much pain is felt, especially if union has failed ; and there are afew recorded cases in which suppuration has occurred within or withoutthe joint. The degree of probability of bony union after fracture through theneck could be determined only by the statistics of a series of continuous Fig. 252;. Fracture of the base of the neck. Exuberant callus and interlocking of the fragments that per-mitted fair use of the limb, notwithstanding failure of union. cases. The collation of reported cases is not sufficient because it iscertain that the proportion of failures of union therein would be dis-proportionately large ; the examination post mortem of the part is morelikely to be made if the patient remains disabled until death than ifhe has regained use of the limb. Most of the specimens we possessof bony union have been obtained from patients who died from someintercurrent cause within a comparatively short time after the accident,while its memory was still fresh. Clinical statistics are untrustworthy because of uncertainty as to theexact situation of the fracture and as to the extent and character of therepair. In respect of the latter it is to be borne in mind that somepatients have been able to make fair use of the limb even when unionhad entirely failed, and that others (after fra
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectfractur, bookyear1912
