Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

ASEPTIC NECROSIS OF THE FEMORAL HEAD FOLLOWING TRAUMATIC DISLOCATION: REPORT OF TWO CASES

ASEPTIC NECROSIS OF THE FEMORAL HEAD FOLLOWING TRAUMATIC DISLOCATION: REPORT OF TWO CASES Abstract Increasing experience with various histopathologic disturbances of bones and joints has emphasized the frequent occurrence of aseptic necrosis of the head of the femur in fracture and fracture-dislocation at the hip, Legg-Perthes disease, certain congenital dislocations of the hip, and, more recently simple traumatic dislocations of the hip. The pathologic process in all of these conditions seems identical, being due apparently to interference with or interruption of the vascular supply through the ligamentum teres. Aseptic necrosis of the femoral head after simple dislocation is attracting special attention because in the majority of cases when the lesion is recognized irreparable damage has already occurred and the function of the hip has been permanently compromised. Yet it would appear that if the potential injury to the femoral head after a dislocation were appreciated and anticipated the treatment might be so ordered that it would prevent much of the damage to the femoral References 1. Kolodny, A.: The Architecture and the Blood Supply of the Head and Neck of the Femur and Their Importance in the Pathology of Fractures of the Neck , J. Bone & Joint Surg. 7:575-597 ( (July) ) 1925. 2. Chandler, S. B., and Kreuscher, P. H.: A Study of the Blood Supply to the Ligamentum Teres and Its Relation to the Circulation of the Head of the Femur , J. Bone & Joint Surg. 14:835-846 ( (Oct.) ) 1932. 3. Wolcott, W. E.: Circulation of the Head and Neck of the Femur: Its Relation to Non-Union in Fractures of the Femoral Neck , J. A. M. A. 100: 27-34 ( (Jan. 7) ) 1933. 4. Zemansky, A. P., Jr., and Lippman, R. K.: The Importance of the Vessels in the Round Ligament to the Head of the Femur During the Period of Growth, and Their Possible Relationship to Perthes' Disease , Surg., Gynec. & Obst. 48: 461-469 ( (April) ) 1929. 5. Chandler, F. A.: Aseptic Necrosis of the Head of the Femur , Wisconsin M. J. 35:609 ( (Aug.) ) 1936. 6. Phemister, D. B.: Fractures of Neck of Femur, Dislocations of the Hip, and Obscure Vascular Disturbances Producing Aseptic Necrosis of Head of Femur , Surg., Gynec. & Obst. 59:414-440 ( (Sept.) ) 1934. 7. Kleinberg, S., and Buchman, J.: The Operative Versus the Manipulative Treatment of Slipped Femoral Epiphysis, with a Description of a Curative Operation , J. A. M. A. 107:1545-1551 ( (Nov. 7) ) 1936. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

ASEPTIC NECROSIS OF THE FEMORAL HEAD FOLLOWING TRAUMATIC DISLOCATION: REPORT OF TWO CASES

Archives of Surgery , Volume 39 (4) – Oct 1, 1939

Loading next page...
 
/lp/american-medical-association/aseptic-necrosis-of-the-femoral-head-following-traumatic-dislocation-0Ec0BjnShj
Publisher
American Medical Association
Copyright
Copyright © 1939 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1939.01200160127008
Publisher site
See Article on Publisher Site

Abstract

Abstract Increasing experience with various histopathologic disturbances of bones and joints has emphasized the frequent occurrence of aseptic necrosis of the head of the femur in fracture and fracture-dislocation at the hip, Legg-Perthes disease, certain congenital dislocations of the hip, and, more recently simple traumatic dislocations of the hip. The pathologic process in all of these conditions seems identical, being due apparently to interference with or interruption of the vascular supply through the ligamentum teres. Aseptic necrosis of the femoral head after simple dislocation is attracting special attention because in the majority of cases when the lesion is recognized irreparable damage has already occurred and the function of the hip has been permanently compromised. Yet it would appear that if the potential injury to the femoral head after a dislocation were appreciated and anticipated the treatment might be so ordered that it would prevent much of the damage to the femoral References 1. Kolodny, A.: The Architecture and the Blood Supply of the Head and Neck of the Femur and Their Importance in the Pathology of Fractures of the Neck , J. Bone & Joint Surg. 7:575-597 ( (July) ) 1925. 2. Chandler, S. B., and Kreuscher, P. H.: A Study of the Blood Supply to the Ligamentum Teres and Its Relation to the Circulation of the Head of the Femur , J. Bone & Joint Surg. 14:835-846 ( (Oct.) ) 1932. 3. Wolcott, W. E.: Circulation of the Head and Neck of the Femur: Its Relation to Non-Union in Fractures of the Femoral Neck , J. A. M. A. 100: 27-34 ( (Jan. 7) ) 1933. 4. Zemansky, A. P., Jr., and Lippman, R. K.: The Importance of the Vessels in the Round Ligament to the Head of the Femur During the Period of Growth, and Their Possible Relationship to Perthes' Disease , Surg., Gynec. & Obst. 48: 461-469 ( (April) ) 1929. 5. Chandler, F. A.: Aseptic Necrosis of the Head of the Femur , Wisconsin M. J. 35:609 ( (Aug.) ) 1936. 6. Phemister, D. B.: Fractures of Neck of Femur, Dislocations of the Hip, and Obscure Vascular Disturbances Producing Aseptic Necrosis of Head of Femur , Surg., Gynec. & Obst. 59:414-440 ( (Sept.) ) 1934. 7. Kleinberg, S., and Buchman, J.: The Operative Versus the Manipulative Treatment of Slipped Femoral Epiphysis, with a Description of a Curative Operation , J. A. M. A. 107:1545-1551 ( (Nov. 7) ) 1936.

Journal

Archives of SurgeryAmerican Medical Association

Published: Oct 1, 1939

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$499/year

Save searches from
Google Scholar,
PubMed

Create folders to
organize your research

Export folders, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month