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Article
December 3, 1927

FRACTURE OF THE SHAFT OF THE FEMUR: DIAGNOSIS AND TREATMENT

JAMA. 1927;89(23):1926-1930. doi:10.1001/jama.1927.02690230010004
Abstract

To throw new light on the diagnosis of fracture of the shaft of the femur is difficult. The classic symptoms of long bone fracture must be searched for to make the diagnosis after the break. In this day of overwhelming traffic a fracture of the shaft is expected after direct violence applied to the thighs of adolescents, generally after an automobile run-over accident; of adults, either from automobile injury as passenger or pedestrian, or the accidents incident to occupation; in the aged, quite frequently from falls or twists of the leg.

The primary symptom confirming diagnosis of shaft fracture is pain referred to the thigh aggravated by movements of the leg or by attempts at use. This pain is severe and continuous, and is clearly localized in the region of the fracture site. Disability in the use of the leg is generally complete. Deformity of the thigh shown by a

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