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October 15, 1887


Author Affiliations

Homerville, O

JAMA. 1887;IX(16):511. doi:10.1001/jama.1887.02400150031013

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With Fracture of Rim of Acetabulum. 

Sir:  —June 9, 1887, J. D.'s horse while in full speed fell on bridge, dragging J. D. 20 feet with right hip and leg under the horse. I found outward dislocation of patella and pubic dislocation of thigh, accomplished reduction with distinct crepitus. While waiting for subsidence of effects of chloroform the limb became dislocated by muscular contraction into thyroid foraman; replaced again; after remaining in place few minutes became displaced again. This was repeated several times. Finally retained it in place by pelvic bandage and compresses anterior and posterior to great trochanter. Bandage removed July 1. On July 10, through severe muscular spasm, thigh became dislocated again. Dr. C. S. W. and myself succeeded in accomplishing the reduction with same result as in the former reduction, finally retaining it in place with the bandage and compresses. July 11, excessive vomiting and depression set

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