Image from page 200 of "A treatise on dislocations and fractures of the joints" (1844)
Publisher: Philadelphia : Lee and Blanchard
Contributing Library: U.S. National Library of Medicine
Digitizing Sponsor: Open Knowledge Commons, U.S. National Library of Medicine
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nution of itslength. But when the fracture happens below the insertion of the principalrotatory muscles, the lower portion of bone is much raised by the ac-tion of the glutaeus maximus, and the limb becomes very much short-ened and deformed at the place of union by exuberant callus. This fracture unites very firmly,and more quickly than when thecervix is broken at the root of thetrochanter, and the patient recoverswith a very good use of the limb. Case XCV.—The first case ofthis kind I ever saw, was in St.Thomass Hospital, about the year1786. It was supposed to be afracture of the neck of the thigh-bone within the capsule, and thelimb was extended over a pillowrolled under the knee, with splintson each side of the limb, byMr. Clines direction. An ossificunion succeeded, with scarcely anydeformity, excepting that the foot was somewhat everted, and the man * This figure, representing this fracture united, shows the necessity of guardingagainst eversion of the limb in the treatment. 20
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154 FRACTURE OF THE THIGH-BONE walked extremely well. When he was to be discharged from the hos-pital, a fever attacked him, of which he died ; and upon dissection,the fracture was found through the trochanter major, and the bonewas united with very little deformity, so that his limb would have beenequally useful as before. The following case I attended with Mr. Harris, surgeon, at Read-ing, who has been so kind as to communicate the circumstances indetail. Case XCVI.—On Friday, July 20th, 1821, I was sent for to Mr. B.a gentleman living about six miles from Reading, who, I understoodfrom the servant, had met with an accident, and put out his hip. Ifound him placed on a board in his bed-room, and on inquiry learntthat, his horse had fallen with him when putting him into a trot, andthat he was thrown, and fell on his left hip on the road. He imme-diately got on his legs, and walked a few steps, but soon found an ina-bility to bring his left leg forward, and complained of pain in his
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