The mechanism of dislocations and fracture of the hip . Litholapaxy, or, Rapid lithotrity with evacuation / by Henry Jacob Bigelow.

  • Henry Jacob Bigelow
Date:
1900
Catalogue details

Licence: Public Domain Mark

Credit: The mechanism of dislocations and fracture of the hip . Litholapaxy, or, Rapid lithotrity with evacuation / by Henry Jacob Bigelow. Source: Wellcome Collection.

    101/372 (page 89)
    socket shall correspond to the hollow beneath the neck of the femur. With some force the thigh can now be everted, and afterward brought down across the upper part of its fellow. It is here firmly locked, with great shortening and some ever¬ sion, the limb facing forward and obliquely crossing the oppo¬ site thigh, while the toe points outward, — a position not wholly ungraceful, and suggesting some attitudes in dancing. (Figs. 32 and 33.)1 If in this position it is desired to bring the limb toward a perpendicular, the outer branch of the Y ligament must be ruptured. Thus liberated, it hangs suspended by the inner ligament, and becomes capable of lateral motion and of rota¬ tion , and this is probably the condition under which supra¬ spinous luxation, although rare, usually occurs. (Fig. 35.) The anteiioi oblique dislocation may be reduced by inward Ciicumduction of the extended limb across the symphysis, with a little eversion, if necessary, to disengage the head of the 1 For a description of the annexed woodcut, taken from Cooper, and which exhibits the position of the anterior oblique luxation, see case of Oldknow (Guy’s Hospital Reports, No. 1, p. 97), also Cooper (“ Treatise,’ etc., Case LXVIL). The foot is said to have been very much everted, only the toes touching the ground. But the patient had lived twelve years after the accident, and something may be allowed for pathological changes. For a larger figure representing this dislocation, see a paper of Bransby Cooper, Guy’s Hospital Reports, 1836, vol. i. p. 81. («) Anterior oblique luxation.