Surgery

Cover Surgery
Surgery
Pick, T. Pickering (Thomas Pickering), 1841-1919
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The astragalus is .^hot out from its socket, and in the complete form is detached from all its connections and rests on the navicular and cuneiform bones. It is generally compound, the head of the bone protruding from the wound.
In the incomplete form the under surface of the neck rests on the posterior SUB-ASTRAC.ALOIl) DISLOCA TION 525 superior border of the navicular. In both forms the astragalus usually undergoes a ])artial rotation, so that the head is directed forwards and outwards, or fo
...rwards and inwards, the former being the more common.
The injury is generally the result of severe violence applied to the foot, while it is fully extended on the leg.
Symptoms. — 'I'he signs of the injury are unmistakable. The rounded globular head of the astragalus is readily recognised under the tense and stretched skin, and behind this can be felt the upper articular surface of the bone m front of the tibia.
Dislocation backwards is uncommon. It would appear to be cau>ed by violence applied to the foot whilst in a position of extreme flexion.


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