Septic arthritis : the Bradshaw Lecture delivered at the Royal College of Surgeons of England on December 10, 1903 / by Howard Marsh.

  • Frederick Howard Marsh
Date:
1903
Catalogue details

Licence: In copyright

Credit: Septic arthritis : the Bradshaw Lecture delivered at the Royal College of Surgeons of England on December 10, 1903 / by Howard Marsh. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    Norwood. The patient had a sharp attack of influenza (which was at the time epidemic in his neighbourhood) on May 3, 1891. Two days later he complained of severe pain apparently in the glands below Poupart's ligament, and had a rigor, copious sweating, and a temperature, for the next ten or twelve days, ranging between 102° and 103°'5. During this time nothing abnormal could be detected in the groin or thigh till, on May 11, a band of oedema appeared running down the outer side of the limb from the trochanter nearly to the knee, but this was neither painful nor tender. Pain was situated chiefly in Scarpa's triangle on the inner side of the femoral vessels. There was a tender spot, also, over the sciatic notch. On May 14 the temperature went down and the oedema subsided, but some thickening could be felt in front of the joint, and the artery seemed to be pushed forward. At this time the limb was becoming flexed and adducted. There was marked muscular wasting, and pain about the joint was so severe as to call for the hypodermic injection of morphia. Two consultations were held in the next three weeks, but the nature of the case remained obscure. Dr. Hetley, however, formed the opinion that the hip-joint was involved. I first saw the case on July 5. The patient was very weak; the tempera- ture was 101° to 103°. The hmb was flexed and B 2
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