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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    handled, or incautiously moved by the patient- or his attendants. The periosteum and reflected membrane possess but little sensibility in the healthy state; hence it will appear that, before inflammation comes on, much mischief might be done to them, without a comparative expres- sion of pain on the part of the patient. In order to guard against this evil, we should know in what position of the limb the periosteum and reflected membrane are most likely to be put upon the stretch. When we are in possession of this knowledge, the course to be pursued is simple and easy. The mode in which the ma- nual examination is conducted, might materially influence the result of the case; and, as I am not aware that any author has given directions upon this subject, I shall be excused for dwell- ing a little upon it in this place. When a patient is placed upon his back in ^^^^ ^^'^^^^ _ bending the the horizontal position, and has the limb, in a ^'^ ^p° ti^<= pelvis—of natural state, bent upon the pelvis, the superin- bearing upon , .,„,,.,., ^ it—of extend- cumbent weight ot the limb is thrown upon the ins it. acetabulum ; but when a fracture exists in the neck of the bone, the weight of the limb is not propagated along the bone to the acetabulum uninterruptedly, as when the bone is entire, but is received by the close coverings of the