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March 26, 1892

REPORT OF THE SURGICAL CLINICS.Held at the Western Pennsylvania Hospital, before the Students of the Western Pennsylvania Medical College.

JAMA. 1892;XVIII(13):385-389. doi:10.1001/jama.1892.02411170011001c

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[Reported by E. E. Wible, M.D., a member of the Graduating Class.

(Continued from page 354.)

November 29, 1890.


This man fell from the top of a caboose in a railroad collision some time ago, and sustained an injury in the vicinity of the hip-joint. When he came in the hospital, we found the right leg rotated outwards, shorter than the other, and the foot everted. The latter symptom would point to a fracture of the femur; the shaft may be fractured, but that was excluded by not finding a false point of motion, hence we came to the conclusion that it was a fracture of the neck. Another symptom of fracture of the neck we find, is that the trochanter describes a smaller arc when rotated; for the reason that its centre of motion is the seat of fracture, while in the normal

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