File:A practical treatise on fractures and dislocations (1899) (14578623789).jpg

Identifier: practicaltrea00stim (find matches)
Title: A practical treatise on fractures and dislocations
Year: 1899 (1890s)
Authors: Stimson, Lewis Atterbury, 1844-1917
Subjects: Fractures Dislocations
Publisher: New York and Philadelphia, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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ods, by making continuous traction in the axis Reduction of obturator dislocation byrotation; showing the mechanism of themanoeuvre. (Bigelow.) 1 Bigelow: The Hip, p. 79.3 Kocher: Loc. cit., p. 620. 2 Kocher: Volkmanns klin. Vortrage, No. 83. DISLOCATIONS OF THE HIP. 725 of the limb and combining with it elastic traction laterally on theupper part of the thigh. On the morning of the fourth day reductionwas found quietly to have taken place. In a case in which the dislocation had existed for twenty monthsand the disability was great, MacCormac excised the head and tro-chanter with a good result. The patient was a sailor nineteen yearsold. For details of the case see Chapter LIII. Perineal Dislocations. The recorded cases of this form are not numerous.1 It is character-ized by the presence of the head more superficially placed than in theobturator variety and displaced to a greater distance from the socket,so as even in one case to press upon the urethra and interfere with the Fig. 312.
Text Appearing After Image:
Perineal dislocation of hip. voiding of the urine. In Taylors case, quoted above in compounddislocations of the hip, page 699, the dislocation was made compoundby a rent in the integument of the perineum nearly two inches long;and, possibly, Woodwards case, quoted in the same section, may belooked upon as an extreme form of this variety. The cause appears to be extreme abduction of the limb, caused in 1 See also a paper by Riedenger in Munch, ined. Wochenschrift, August 16,1892. 726 DISLOCATIONS. my three cases by the fall of a heavy body upon the patients back ashe stood or knelt with the thigh flexed and abducted. Probably thecapsule is widely torn, and thus may be explained the varying attitudeof the limb in respect of inversion or eversion. In an autopsy reportedby Shaw1 not only was the capsule extensively detached at its innerand posterior insertion upon the acetabulum, but also the iliofemoralligament was partly separated from the neck of the femur, and a smallrent extended fro

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