A Practical Treatise on Fractures and Dislocations

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Lea & Febiger, 1910 - Diagnosis, Radioscopic - 858 pages
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Page 755 - Nelaton's guide, to detect any displacement of the femur at the hip joint, consists of a line drawn from the anterior superior spine of the ilium to the most prominent part of the tuberosity of the ischium.
Page 797 - The ligaments which bind the femur to the tibia and fibula are the external and internal lateral, the posterior, and the crucial. The internal lateral ligament, long and flat, extends from the internal tuberosity of the femur to the inner side of the shaft of the tibia ; the external lateral, more rounded and cord-like, extends from the external tuberosity of the femur to the head of the fibula, overlying the tendon of the popliteus above and being embraced by the tendon of the biceps below.
Page 406 - If eversion is the sole or main movement, the force is exerted through the internal lateral ligament and breaks the internal malleolus squarely off at its base; then it presses the external malleolus outward, rupturing the tibiofibular ligament, and breaking the fibula close above the malleolus.
Page 759 - The obliquity of the femur toward its fellow was very slightly increased. Upon the front of the thigh at its upper third, a very manifest concavity or sinking in was noticeable, the usual anterior convexity of the limb being lost. The trochanter was about an inch and a half behind and above its usual position, and, during etherization, it was quite movable on attempting rotation of the limb. Finally, the head of the femur could be felt obscurely but pretty certainly rotating in the ischiatic notch,...
Page 847 - ... of the foot. Much the most striking part of the deformity consisted in a prominence on the dorsum of the foot. Immediately in front of the tibia it presented a flat surface, broad enough to receive the finger, and from which there was an abrupt descent upon the anterior part of the tarsus. Over this projection, caused by the head of the astragalus thrown on the upper surface of the scaphoid and cuneiform bones, the integuments were so tense, that it was evident, a very small additional force...
Page 789 - Such consequences are now extremely rare, but, even when forcible traction or other violent manipulations have not been employed, they must still be expected occasionally to occur as the result in part at least of the original traumatism. Fracture of the neck or even of the shaft of the femur has been caused in a large number of cases by the surgeon in his efforts to reduce, either by forcible traction or by manipulation. Although in modern methods but little force, comparatively, is applied by the...
Page 147 - It is stated that the vertebrae most frequently injured are the fifth and sixth cervical, the last dorsal, and the first lumbar...
Page 645 - The patient is made to sit upon a chair, and the surgeon, placing his knee on the inner side of the elbow-joint, in the bend of the arm, takes hold of the patient's wrist, and bends the arm. At the same time he presses on the radius and ulna with his knee, so as to separate them from the os...
Page 207 - Displacement and shortening, however, are the rule; only those cases apparently are exempt in which the line of fracture is transverse and there is no displacement at first. The amount of the shortening may vary from a fraction of an inch to or even over two inches, and it may be produced by angular displacement or by overriding or by both
Page 847 - ... these parts much greater than in the other foot. The absence of the hard projection which would have been formed by the upper articulating surface of the astragalus, had it passed backwards with the other tarsal bones, was evident The malleoli were perfectly defined.

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