Licence: Public Domain Mark
Credit: On disease of the hip-joint / by Lewis A. Sayre. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![different stages of the disease I have endeavored to describe to you. We will first observe them walk. You will notice this little chiid, six years of age, whose trouble dates from a fall down six steps some eight months ago. The fall was followed by a slight limp some few days afterwards, which has continued at intervals from that time to the present. He has complained of but little pain, and that always has been in his knee. He has been to numerous institutions, and has had various opinions expressed in regard to his case; some terming it rheumatism, others growing pains, and again others disease of the knee-joint, for which he has had iodine painted upon it as you see ; and it was not until a few days ago that he was suspected to have disease of the hip.* You see he walks around the room with scarcely a perceptible limp ; he stoops to pick things from the floor, bending his hip tolerably well. The second boy which we here show you, ten years of age, fell from a horseblock four months since, striking upon his trochanter major, and the injury was followed almost immediately by a slight lameness. A few days’ rest, and he seemed to be so much better that no further attention was paid to it. After some weeks he began to complain of his knee, became slightly more and more stiff in his hip, but did not complain sufficiently of his hip to attract attention to it, until he was brought to me two days ago in the condition you now see him. You observe that he cannot walk at all, but glides around the room upon one foot, first upon his heel, then upon his toe. You see how carefully he preserves his right limb from thg slightest degree of motion. You will notice, when he stands, the limb is bent at the knee and hip much more than in the other case, and is apparently longer, and is extended in front of its fellow, and strongly abducted and everted. When • * A few days before Dr. Sayre saw this case, he'was brought to the Clinic for Diseases of the Nervous System, at the College of Physicians and Surgeons, to have a “ neuralgia ” of the outer part of the thigh investigated , when I made the diagnosis of morbus coxarius. [E. C. SEGUIN.]](https://iiif.wellcomecollection.org/image/b22382410_0013.jp2/full/800%2C/0/default.jpg)
