Observations on the nature and treatment of fractures of the upper third of the thigh-bone, and of fractures of long standing.

  • Amesbury, Joseph, 1795-1864.
Date:
1829
Catalogue details

Licence: Public Domain Mark

Credit: Observations on the nature and treatment of fractures of the upper third of the thigh-bone, and of fractures of long standing. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    tance. There is tenderness in the joint, and some pain experienced in the soft parts in the direction of the pectineus muscle and the tendon \ of the psoas magnus and iliacus internus, and sometimes in the hollow behind the trochanter. The patient may be able to turn the limb inward or outward ; he may be able to bend it upon the. pelvis, but not without pain, and a remarkable sense of weakness in the joint. The close co- . verings may yield so as to allow of slight ever- sion and slight shortening of the limb. The swelling in these accidents is not likely to be great, unless the surrounding parts are much in- jured by the blow, or other force, which oc- casioned the fracture. That which occurs is confined principally to the joint. When these symptoms exist, we might, I think, fairly suspect the existence of a fracture; but, in order to make ourselves more certain, we should examine the limb very attentively. This should be done, however, with the utmost caution. Knowledge re- -yy^ must remember that the fractured ends tiuisite to ena- ble the surgeon bone, in this accident, are held together to examine the . Umb with safe- by the periostcum and reflected membrane, ty to the pati- J t •111 «nt. which are placed in close contact with the bone at the seat of injury. These are in extreme danger of laceration, if the limb be roughly