Fractures of the Femur. Ill 



3. 187. Recent Impacted Extra-capsular Fracture of the 

 Neck. — Upper end of a right femur — muscles cleaned off, and 

 in spirit, showing the above. 



The patient, a man aged 70, fell from a bed a foot and a half high, 

 and struck his hip. There was eversion, but no shortening. He died in 

 six days at Montrose Infirmary. 



The neck has given way at its junction with the trochanters. 

 The small and the posterior and upper part of the great trochanter 

 have been split oflf from the shaft by impaction. A few tags 

 of fibrous tissue still unite the neck to the upper part of the 

 shaft and to the detached fragments. G. C. 1743. 



Presented by W. A. F. Browne, 1835. 



3. 188. Recent Impacted Extra-capsular Fracture of the 



Neck. — Upper end of a left femur — muscles dissected off, and 

 in spirit, showing the above. Some of the pieces are opened 

 out at the back, to show the relations of the fragments. 



A pensioner, aged 80, when intoxicated, slipped and fell on the floor. 

 "He violently refused to have the injury examined or any remedy 

 applied," and died on the twelfth day after the fall. 



Unorganised lymph and decolourised blood-clot cover the 

 broken surfaces of bone. The mode of comminution is similar 

 to that seen in the previous specimens. G. C. 1300. 



Presented by Wm. Brown, F.R.C.S.E. 



3. 189. Somewhat recent Impacted Extra-capsular Frac- 

 ture of the Neck. — Upper end of the left femur of an adult, 

 — muscles dissected off, and in spirit, showing the above. Some 

 of the pieces are opened out at the back to show the relations 

 of the fragments. 



The patient, who was under 50 years of age, was thrown violently to 

 the ground, falling upon the point of the trochanter. He died of a chronic 

 disease. 



The great and small trochanters are split in a way quite 

 analogous to that seen in the previous specimen, except that 

 the injury is more severe. 



