A treatise on orthopedic surgery . s makes the mechanical treatment difficult. Recumbency offers the best op-portunity for the effective ad-justment of apparatus when thedisease of either part is a later period crutches maybe employed, together with thenecessary braces. Hip Disease in Infancy.—Hipdisease in infancy is far lesscommon than in early presents nothing of special in-terest except that its effect uponthe function of the joint andupon the development of the limbis usually more marked than inolder subjects. Tuberculous dis-ease of this joint must be differ-entiate
A treatise on orthopedic surgery . s makes the mechanical treatment difficult. Recumbency offers the best op-portunity for the effective ad-justment of apparatus when thedisease of either part is a later period crutches maybe employed, together with thenecessary braces. Hip Disease in Infancy.—Hipdisease in infancy is far lesscommon than in early presents nothing of special in-terest except that its effect uponthe function of the joint andupon the development of the limbis usually more marked than inolder subjects. Tuberculous dis-ease of this joint must be differ-entiated from infectious epiphy-sitis, in which prompt operativetreatment is indicated. A modi-fied Thomas brace is most effi-cient in treatment (Fig. 250). Hip Disease in the Adult—Hip disease in the adult maypresent the typical symptoms ofthe ordinary form, but it is usu-ally of the more subacute type.]^ot infrequently it is a compli-cation of tuberculosis of thelungs. The subacute form of tubercu-lous disease is often difficult to. Untreated hip disease. Sligtit flex-ion and adduction (apparent shorten-ing). The scar of a former abscessis seen on the outer aspect of thethigh. distingTiish from arthritis defor- mans, if this is limited to thehip-joint. Gonorrhoeal arthritis and impacted fracture of theneck of the femur may be mentioned also in differential diag-nosis. The mechanical treatment is not difficult, but early exci-sion or arthrotomy to induce anchylosis may be advisable to hastenthe cure of the disease. This is far more im]:)ortant than in TUBEBCULOUS DISEASE OF THE HIP-JOINT. 387 childhood, because few adults can afford the time required forthe natural cure, and because in many instances the general con-dition of the patient may demand relief from the depressingtifects of the local disease, especially if it be complicated by sup-puration. Abscess Complicating Hip Disease.—It may be assumed thata limited collection of the fluid products of the tuberculousprocess is
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
