Fractures of the neck of the thigh-bone / by R.D. Mussey.

  • Reuben Dimond Mussey
Date:
1857
Catalogue details

Licence: Public Domain Mark

Credit: Fractures of the neck of the thigh-bone / by R.D. Mussey. 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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    ! i r this made by a saw, shows a consolidation of the fracture by a deposit of muss as compact and white as ivory. This is well shown in Pig. 2. In the year 1830, I showed this to Messrs. Roux and Amussat, and some pher professional gentlemen in Paris; they regarded it as a fair specimen of ' my union of intracapsular fracture. In London, I also showed it to Mr. .iwrence, Mr. Travers, Mr. Stanley, and Dr. Hodgkin, who was then Curator the Museum at Guy's Hospital. These gentlemen were interested with ■e specimen, and considered it as a satisfactory example of bony union within 3 capsular ligament. On my presenting it for inspection to Sir Astley >oper, he remarked, This bone never was broken, I said, Sir Astley, ease to look at the interior of the bone. He separated the two halves' said, This does look a little more like it, to be sure ; but I do not think iis wholly within the capsular ligament. It is well known that Sir A. •oper, for some years, had taught the doctrine that bony union does not take me^ in intra-capsular fracture: His views, among the surgeons of Great ritain, were extensively admitted as correct. At Edinburgh, I showed it to that distinguished surgeon, John Thompson, iose work on inflammation had given him extensive notoriety. On care- ' ly inspecting it, he declared, upon his truth and honour, that it had eer been broken. An opinion had prevailed for some time among sur- ros, that in old persons the head of the thigh-bone is liable to sink below ordinary level, with more or less urtening of the neck; which occurs certain morbid conditions without the of mechanical violence. Mr. Thomp- i regarded this as an instance of that k'.d of change. ^Ifter returning to America, I ob- n.ied the right thigh-bone from the hie skeleton. Fig. 3 gives a very cor- t; delineation of the head, neck, and liMer part of the shaft of this bone, pween this and the other specimen, difference is very striking. The k of this exhibits the ordinary angle b the shaft, and there is no depres- h of the head, and no mark across neck. [he professional gentlemen of our tatty who have examined these specimens, unhesitatingly pronounce this |ea case of union by bone of intra-capsular fracture. Lase IL-Mr 4, a corpulent man, aged 51, on getting out of his chaise, rapon his left hip, and was unable to walk. I saw him on the third day :
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