The surgical treatment of the diseases of infancy and childhood / by T. Holmes.
- Timothy Holmes
- Date:
- 1868
Licence: Public Domain Mark
Credit: The surgical treatment of the diseases of infancy and childhood / by T. Holmes. Source: Wellcome Collection.
480/700
![HIP-DISEASE. sented itself for examining the joint about a month after the known commencement of the symptoms of hip-disease. The main appear- ances of disease were in the ligamentum teres, which had been nearly eroded by ulceration, and a considerable quantity of lymph was effused into the cavity of the joint. A few other examinations of early specimens of hip-disease are on record. In one contained in the [Pig. GS. A preparation in the Museum of the Hospital for Sick Children, from a case in which the symptoms of disease of the hip-joint had existed for one month only. The liga- mentum teres is ulcerated, and is almost destroyed. There is a layer of adhesive lymph on the head of the femur. No other morbid appearances.] work of MM. Martin and Collineau, pp. 140-143, death occurred from acute abscess of the hip within a few days of the first onset of the symptoms. Here also the ulceration of the ligamentum teres and the inflammatory state of the synovial membrance were the chief, if not the sole morbid appearances. It is quite possible that different structures may be affected in dif- ferent cases; but my own opinion is, that in many the disease begins by an inflammation of the ligaments. Mr. Aston Key was of opinion that the inflammation begins usually in the ligamentum teres; and although the view was founded on an erroneous theory of the function of that liga- ment, still the main argument on which it is based seems to me sound, as showing that some part of the ligamentous apparatus is generally very early affected. Mr. Key reasoned, that the ligamentum teres was the part affected, on account of the acute pain which abduction usually causes at the outset of the disease, believing that the function of that ligament was to check abduction. As far as it was applied to this particular ligament, all this reasoning is of course erroneous; but I think that the constant and acute suffering caused in the early stage](https://iiif.wellcomecollection.org/image/b20416325_0480.jp2/full/800%2C/0/default.jpg)
