Principles of the treatment of diseased joints / by H. O. Thomas.
- Hugh Owen Thomas
- Date:
- 1883
Licence: Public Domain Mark
Credit: Principles of the treatment of diseased joints / by H. O. Thomas. 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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![I Part II.] Below are appended, in tabular form, the various types of cases to be met with when a portion or the whole hip articula- tion is suffering from inflammation. CASE A. First Stage. Wasted nates, no lameness, but -if tested by the author's method slight flexion apparent, and the disease may be re- Solved, or may pro- gress through the terminating stages of B, C, and D. CASE B. First Stage. Wasted nates, lameness, if tested by ' the author's method flexion ap- parent. Second Stage Was ted nates, lameness, flexion, false lengthening, aversion and ab- duction with or without suppura- tion, and occasion- ally slight flexed contraction of tlie knee. CASE C. First Stage. Wasted nates, lameness, flexion by the author's test, in- version with or without shortening, adduction and slight in-knee, terminating with or without suppuration, and occasinnally slight flexed cofitraction of the knee. CASE D. First Stage. Wasted nates lameness, flexion. Second Stage. Wasted nates, lameness, flexion false lengthening eversion and abduc- tion. Third Stage. Wasted nates, lameness, flexion, real shortening, in- version in - knee, .terminating with or 'without suppura- tion, and occasion- ally slight flexed contraction of the knee. Deformities in connection with the hip-joint are explicable by no other assumption than this, that they are mainly caused by muscular action acting under the direction of the suf- ferer's will, as it is otherwise impossible to account for the four distinct variations of deformity that are to be met with. The various signs attendant upon hip diseases can not be accounted for, by the capsular distension hypo- thesis, or by a consideration of the reflex action of the nerves distributed to the joint and its appendices or of nerves distributed to separate integral parts of the hip, though it is probable, that when the muscles, which control an inflamed articulation, are exerting their power to fix and give rest to an articulation, reflex nerve sense is also operative in some degree.](https://iiif.wellcomecollection.org/image/b21289967_0022.jp2/full/800%2C/0/default.jpg)
