The earlier work upon the spore-formation in Ferns having led to divergent resuits, a new investigation was begun in connection with other cytological work bearing upon the Mendelian hypothesis. During the progress of this work, Professor Farmer and J. E. S. Moore, in their preliminary communication to the Royal Society upon the reduction-phenomena of plants and animals, indicated the occurrence of a true reduction at the heterotype division in both plants and animals. The examination of the early stages of spore-formation in Ferns leaves no doubt that the essential features of the phenomena described by the above-mentioned authors are present also in this group of plants.
Acute inferior dislocation of the patella is a rare presentation in trauma and orthopaedics. Type II is caused by direct upward force on the inferior pole of the patella when the knee is flexed impacting the superior pole osteophyte into the intercondylar notch. Impaction in the femoral trochlea is rarely reported. A 92-year-old lady presented with locked knee held in 85° of flexion with an abnormal knee contour. Radiographs demonstrated that the upper pole of the patella was impacted in the femoral trochlea with a fracture of a superior pole osteophyte. The extensor mechanism was intact. Closed reduction is achieved under strong opioid pain relief. The patient returned to her baseline knee function within 6 weeks. Closed reduction of an inferior patellar dislocation in elderly patients is aided by superior pole osteophyte fracture and facilitates early mobilization, and avoidance of general anaesthesia.
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