Subtrochanteric Fracture of Femur

Dr. W. H. Harris: A 12-year-old girl was admitted to the Massachusetts General Hospital approximately 45 minutes after having been run over by a truck. She had not lost consciousness. Her past medical history was not remarkable except for an appendectomy one year previously. She was in moderate discomfort at the time of admission. Her blood pressure was 94/60 mm. Hg; the pulse rate was 80; and respirations were 25 per minute. There were gross swelling, ecchymosis, and tenderness in the proximal portion of the left thigh. The left lower extremity was in 90° of external rotation. The patient was unable to flex the left hip voluntarily. Peripheral pulses were intact. Examination of the abdomen showed extensive abrasions over the lower portion of the abdominal wall from the umbilicus to the pubis, with a break in the skin overlying the left anterior iliac crest. There was diffuse soreness throughout the