The great rarity of fracture of the femoral head makes this case worthy of record. It occurred in a woman, aged 55, whose weight was about 160 pounds (72.5 kg.). She fell in attempting to jump from a motorboat to a wharf; she had reached forward to take a hand offered to her, and in jumping tripped over the gunwale of the boat and fell on the wharf, striking her left hip. She was immediately conscious of a severe injury, and stated that she had dislocated the right hip joint. She was unable to rise or move the limb, and was carried a short distance to her home.
I saw her at the landing, and took her to her room, where an examination disclosed the thigh partly flexed; the foot inverted; the limb shortened, and a slight crepitus on effort at rotation. The deformity was typical of dislocation on the