The Monthly Abstract of Medical Science Volume 6 (Paperback)

Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: all tases to destructive dislocation, of which there is only rarely any evidence. And the point of view from which we regard the displacements of the limb in coxitis, is of great importance in the treatment. For, whereas on the former hypotheses the limb will be invariably displaced in the same manner, whatever the position of the body; the practitioner, acting on the accommodation theory, will endeavour to adapt the position of the body so that the limb may obtain the greatest possible amount of case and rest. And, hence, position and mechanical means are most efficacious in the treatment of inflammatory disease of the hip- joint London Med. Record, Nov. 15, 1878. Repeated Fracture of the Patella. The first case is reported in the Progrs Mdical for September 21st, the patient being a woman, aged 56, who was admitted into the Hpital Cochin under the care of M. Despres. An examination of the loft knee-joint, made at the hospital six hours after the woman had fallen, showed that the patella was divided into three pieces. The middle fragment was separated from the upper one by a centimetre (0.4 inch), from the lower one by three centimetres (1.2 inches), this last piece being very movable. It transpired that three years before the patient had fractured the same patella transversely, and had been an inmate of the Htel- Dieu; fibrous union of the fragments had resulted. The ease was treated by means of silicated bandages, and in three months the patient was able to walk with the. affected limb as well as with the sound one, without fatigue, fibrous union having taken place. M. Despres enunciates the following. 1. The formation of osseous callus in fractures of the patella is impossible when the articulation is distended by a large effusion, or if the pre-existing adh...