The philosophy of manipulation in the reduction of hip and shoulder dislocations : read before the American Surgical Association, 1884 / by Moses Gunn.

  • Gunn, Moses, 1822-1887.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: The philosophy of manipulation in the reduction of hip and shoulder dislocations : read before the American Surgical Association, 1884 / by Moses Gunn. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    outwards, and in this position forcing the head forwards. As the head escapes from the socket and travels forward to its posi- tion in front of the body of the pubis, it is certain that the an- terior portion of the capsule is ruptured, and it is nearly equally certain that the rupture occurs at the weakest part of this an- terior portion. The weakest part will be found at the internal extremity of the ligament at its attachment to the rim of the acetabulum, where it is not reinforced by the ilio-femoral fibers. Through this opening the head escapes and rests in front of the body of the pubis, the posterior surface of the neck resting on the edge of the acetabulum, and the posterior border of the great trochanter settling somewhat into the socket. The portion of the capsule which remains untorn is the whole of the posterior half, and that part of the anterior half covered and strengthened by the reinforcing ilio-femoral fibers. The posterior half is forced down into the acetabulum by the trochanter major, which encroaches upon that cavity. This is shown in Fig. 6, which is an external view of this dislocation : Fig. 6.—External view of pubic luxation, showing the posterior border of the great trochanter settled into the acetabulum, pressing before it the posterior untorn half of capsule,