Observations on the Nature and Consequences of Those Injuries to which the Head is Liable from External Violence: To which are Added, Some Few General Remarks on Fractures and Dislocation

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L. Hawes, W. Clarke, and R. Collins, 1768 - 402 pages
 

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Page 2 - The floating of other men's opinions in our brains makes us not one jot the more knowing, though they happen to be true.
Page 57 - This is the case, when, by leaping or jumping, the fibula breaks in the weak part already mentioned; that is, within two or three inches of its lower extremity. When this happens, the inferior fractured end of the fibula falls inward toward the tibia, that extremity of the bone which forms the outer...
Page 57 - By this means, and indeed as a necessary consequence, all the tendons which pass behind or under, or are attached to the extremities of the tibia and fibula, or os calcis, have their natural direction and disposition so altered, that instead of performing their appointed actions, they all contribute to the distortion of the foot, and that by turning it outward and upward.
Page 56 - ... will suffer a partial dislocation internally : which partial dislocation cannot happen without not only a considerable extension, or perhaps laceration of the bursal ligament of the joint, which is lax and weak, but a laceration of those strong tendinous ligaments which connect the lower end of the tibia with the astragalus and os calcis, and which constitute in great measure the ligamentous strength of the joint of the ankle.
Page 57 - ... weak bursal, or common ligament of the joint is violently stretched, if not torn, and the strong ones, which fasten the tibia to the astragalus and os calcis, are always lacerated, thus producing at the same time a perfect fracture and a partial dislocation, to which is sometimes added a wound in the integuments, made by the bone at the inner ankle. By this means, and indeed as a necessary consequence, all the tendons which pass behind or under, or are attached to the extremities of the tibia...
Page 134 - Bartholomew's, in the midst of a populous city, where all kinds of hazardous labor is carried on, has enabled me to make many observations upon them; and although I have now and then seen some of them do well without the use of the trephine, yet the much greater number whom I have seen perish with collections of matter within the cranium, who have not been perforated, and for whom there is no other relief in art or nature, has, I must acknowledge, rendered me so very cautious and diffident that,...
Page 276 - ... or mechanic, up to those of the most exalted rank and station; several of whom not only did not hesitate to believe implicitly the most extravagant assertions of an ignorant, illiberal, drunken, female savage, but even solicited her company ; at least, seemed to enjoy her society.
Page 43 - ... local and constitutional, occurring together, denote interior suppuration at the injured part. The local signs " following a smart blow on the head, and attended with languor, pain, restlessness, watching, quick pulse, headache, and slight irregular shiverings, do almost infallibly indicate an inflamed dura mater, and pus either forming or formed between it and the cranium."1 Treatment.
Page 51 - I mean the frafhire of the fibula attended with a diflocation of the tibia. Whoever will take a view of the leg of a...

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