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February 1939, Vol 38, No. 2 >
ARTICLE | February 1939

AVULSION FRACTURE OF THE GREAT TROCHANTER

HENRY MILCH, M.D.
Arch Surg. 1939;38(2):334-350. doi:10.1001/archsurg.1939.01200080146012.
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Interest in the present study of isolated fracture of the great trochanter was stimulated by a necessity which recently arose for answering questions having medicolegal significance. The need for such a study was appreciated the more when it was realized that, instead of being casual and commonplace, this type of fracture is extremely interesting and unusual.1 In spite of carrying on a moderately active hospital and private practice involving the treatment of many industrial accidents, I have personally observed only 3 cases during more than fifteen years. A fairly careful search by the attending roentgenologist of the extensive dispensary and inpatient files of the roentgenologic department of the Hospital for Joint Diseases disclosed only 4 additional cases classified under the diagnosis of fracture of the great trochanter. Final recourse to a number of standard textbooks dealing with the subject of fractures2 was but slightly more gratifying, if at

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