Hip disease in childhood : with special reference to its treatment by excision / by G. A. Wright.

  • Wright, G. A. (George Arthur), 1851-
Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: Hip disease in childhood : with special reference to its treatment by excision / by G. A. Wright. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    losed ; pelvis tilted ; considerable lordosis ; a sinus below great trochanter. Treatment: Exploratory incision ; hip found anchylosed, with some bare bone round the aceta- bulum. Result: Discharged unhealed. Seen December, 1881, I inch shortening ; wound soundly healed ; no pain ; fixed flexion to 45 degrees ; no other deformity ; condition good ; much thickening about trochanter; runs about without a crutch and with a high-heeled boot ; wound has been healed for nine months. Case 8. Hip Disease. Incision. Cure.—Sarah F., age 4 years. Admitted November 7th, 1879. History: Fall ten months ago; last nine months has limped; was in bed for a little while and improved. Condition on admission: Pain and starting; pain worse last few days; flexion and adduction ; fulness in front, pain on pressure; no shortening. Treat- ment : Extension. On 8th, sudden effusion into the joint took place and a subcutaneous incision was made into it. Result: Sent out in gum and starch splint; no pain. December 6th, 1881, limb firmly anchylosed with some thickening ; no pain, except occasionally if jarred ; flexion at angle of 45 degrees; about \ inch shortening; walks well with sole thickened \—f inch ; general condition good. [There is still danger of relapse in such a case.] Case 9. Hip Disease. Incision. Nearly Well. Died of Tubercular Meningitis.—Mary Alice D., age 8 years. Ad- mitted November 6th, 1879; discharged April 5th, 1880. Duration of disease: Three months ago had a fall; two weeks later was lame; lately has had swelling and starting. Condition on admission: Flexion; tenderness; no abscess. Treatment: Extension. Later, night pain continued and fluctuation appeared ; the capsule was incised ; pain re- lieved, but returned in six weeks. Result: She was sent out relieved, and seemed to get nearly well of her hip, only walking a little lame ; but died apparently of tuber- cular meningitis in November, 1880. Case 10. Hip Disease. Drilling of the foint.—Harriet H., age 5 years 2 months. Admitted March 18th, 1882. Duration of disease : Six or seven weeks; no injury known ;