Fractures of the Femur. 113 



the detached fragment bearing the small and part of great 

 trochanters, and little or none, only absorption, upon the head 

 and neck. B. C. i. 1. M. 20. b. 



3. 192. United Extra-capsular Fractupe of the Neck.— 



Upper end of a left femur — muscles dissected olf, in spirit, 

 showing the above. A portion has been sawn out from the 

 head and neck, to show the bony union. 



As in the previous specimen, the anterior part of the neck 

 has been thrust in front of the upper part of the shaft. The 

 great trochanter is splintered much in the usual vvay. There 

 has been shortening and eversion. G. C. 3280. 



3. 193. United Impacted Extra-capsular Fracture of the 



Neck. — Sections of a right femur — macerated, showing the 

 above. 



The patient was a womaii aged 77. The fracture occurred in 

 March 1886, when she was 71 years of age. She was successfully treated 

 in Professor Chiene's ward, Koyal Infirmary, Edinburgh, and died in the 

 Workhouse in April 1892. 



The bone shows the usual appearances produced by a 

 slight amount of impaction of the neck upon the trochanters. 

 The shortening and eversion must have been very slight. The 

 cancellous tissue has been re-established, but at one or two places 

 it was replaced by fat. G. C. 3383. 



Presented by G. M. Johnston, M.D. 



3. 194. United Extra-capsular Fracture of the Neck.- 



Anterior half of the upper end of a right femur — macerated, 

 with a plaster cast of the posterior half of the same specimen. 



Four years before death, the patient, an old lady aged 71, fell on 

 the carpet in her room, and immediately afterwards sufi"ered from pain 

 and powerlessness of her right limb. She was seen by Drs John Duncan 

 and R. A. Lundie, who recognised "the usual symptoms of unimpacted 

 extra-capsular fracture of the femur. It had none of the symptoms of 



H 



