[ 8 47 ] 
limb. The toe was turned in toward the heel of 
the left foot, and the heel of courfe outward ; and 
the whole limb, from the head of the femur to the 
toes end, diltorted in proportion. 
I thought it was very evident, at firft fight, that 
there mult be either a fradure of the femur, or a 
diflocation of its articulation with the ifchium. The 
former, I think, would have been eafily difcoverable. 
But as by laying my hand on the great trochanter, 
while an affiftant turned the foot inward and out- 
ward alternately, I could perceive, that the motion 
of the great trochanter correfponded exadly to the 
motion of the lowed end of the femur, I concluded, 
that, had there been a fradure, it mud have been 
between the great trochanter and the head of the 
bone. And, had this been the cafe, I expeded to 
have been able to difcover it, by the grating, that 
is always to be felt, when the two broken ends of a 
bone are moved againd one another. But no fuch 
thing being perceivable, and yet the limb fo much 
didorted, and the pain fo violent, and confined to 
the parts about the joint, I took it for granted, and 
pronounced the cafe to be a diflocation of the femur ; 
and confequently endeavoured to reduce it, by the 
ufual method of extenfion. To this end, two men 
extended the limb, by pulling on napkins tied round 
the ancle, while others counteraded them, by pulling- 
on a fheet palled between his legs, and fecured at 
the bed’s head, turning the foot outward as they 
made the extenfion. This gave him great pain; but 
the limb foon became, in every refped, parallel to 
the other. It appeared as long, and, on laying it 
down on the bed, the great toes and heels of both 
