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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    and some adhesions gave way, limb afterwards very freely movable. A week later the shortening had increased to if inches; there was some mobility, but no rotation, and there was pain on pressure over the trochanter; slight inversion and adduction of limb. A fortnight later there was 2 inches shortening, and pain, which had existed before in the knee, still was there. Eleven days later, the head of the femur was found to be lying on the dorsum ilii or rather immediately behind the acetabulum, when it could be felt to move with the limb on rotation; there was much internal rotation, and flexion to a right angle was possible. There appears to have been interstitial absorption of the neck, and, later, capsular softening, leading to dislocation, as a result of passive movement. Case 15. Acute Periostitis of Femur extending to the Hip Joint.—Annie P. was healthy till she was 10 years old, then had acute periostitis of the femur ; swelling extended from the hip to the knee, then abscesses formed and dis- charged about the knee, and some bone came away and more was removed ; later an abscess appeared about the hip, which burst, and from it the head of the femur was discharged ; the sinuses finally healed eight years after, leaving her with a flexed knee. December, 1881, remains in same condition. [Here clearly the disease began as a periostitis, which involved the hip joint secondarily, and probably by extension of the disease the epiphysial carti- lage was destroyed and the head of the bone separated. This case so far resembles Mr. Bryant's case of destruction of the greater part of the shaft and the head of the bone, with restoration of a movable limb.] Case 16. Acute Hip Disease. Death.—Catherine D., age io| years. Admitted June 5th, 1880. Died June 9th, 1880. Duration of disease: One week ago had a fall; was at school the day before admission, but had pain in the hip; delirious on the second day. Condition on admission: Shivering ; delirious ; P. 160 ; T. 105 ; swelling of upper part of thigh; veins turgid; skin cedematous; thigh slightly flexed; cries on movement; no grating; under chloroform