tures of the case was the rapid cooling of the body
after the accident and prolongation of the coolness with slight
variations until death ensued. Ashurst remarks that while the cutaneous
surface of the stump was acutely sensitive to the touch, there was no
manifestation of pain evinced upon handling the exposed nerve.
With reference to injuries to the sciatic nerve, Kuster mentions the
case of a strong man of thirty, who in walking slipped and fell on his
back. Immediately after rising to his feet he felt severe pain in the
right leg and numbness in the foot. He was unable to stand, and was
carried to his house, where Kuster found him suffering great pain. The
diagnosis had been fracture of the neck of the femur, but as there was
no crepitation and passive movements caused but little pain, Kuster
suspected rupture of the sciatic nerve. The subsequent history of the
case confirmed this diagnosis. The patient was confined to bed six
weeks, and it was five months afterward before he was able to go about,
and then only with a crutch and a stick.
Park mentions an instance of rupture of the sciatic nerve caused by a
patient giving a violent lurch during an operation at the hip-joint.
The instances occasionally observed of recovery of an injured leg after
extensive severance and loss of substance are most marvelous. Morton
mentions a boy of sixteen, who was struck by one of the blades of a
reaping machine, and had his left leg cut through about 1 1/4 inches
above the ankle-joint. The foot was hanging by the portion of skin
corresponding to the posterior quarter of the circumference of the leg,
together with the posterior tibial vessels and nerves. These were the
only structures escaping division, although the ankle-joint itself was
intact. There was comparatively little hemorrhage and no shock; a
ligature was applied to the vessels, the edges of the wound were drawn
together by wire sutures, and the cut surfaces of the tibia were placed
in as good apposition as possible, although the lower fragment
projected slightly in front of the upper. The wound was dressed and
healing progressed favorably; in three months the wound had filled up
to such an extent that the man was allowed to go on crutches. The
patient was discharged in five months, able to walk very well, but
owing to the loss of the function of the extensor tendons the toes
dragged.
Washington reports in full the case of a boy of eleven, who, in handing
a fowlin
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