. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . lum, back-wards towards the sciatic notch, forwards upon the pubic bone,or downwards and forwards into the thyroid foramen, does notadmit of doubt. Dislocation, however, in most of these direc-tions, can take place only in those cases where there has beenextensive suppuration with separation or destruction of the softparts, allowing the superior extremit
. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . lum, back-wards towards the sciatic notch, forwards upon the pubic bone,or downwards and forwards into the thyroid foramen, does notadmit of doubt. Dislocation, however, in most of these direc-tions, can take place only in those cases where there has beenextensive suppuration with separation or destruction of the softparts, allowing the superior extremity of the bone to move aboutand thus seek, as it were, a new position. The upward displace-ment is, undoubtedly, the most frequent, but even this must beextremely rare. * The change of position now exhibited by the limb is charac-teristic and generally very different from that assumed in theearly stage of the disease. This is due to the absorption andpartial or complete loss of function of the external rotators ofthe thigh, in consequence of which the thigh is semiflexed on thepelvis, the leg bent upon the thigh, and the whole limb adductedand turned inwards. * Op. cit., vol. 1, p. 1013 et —VOL. II. 90 SCIENCE AND ART OF Fig. 238. The shortening of the limb mayarise, in verychronic cases, fromgeneral atrophy ofthe extremity, con-sequent upon dis-ease ; and this nodoubt in time in-fluences its condi-tion in all head of thebone in some in-stances is absorbedwhile in others itis dislocated uponthe dorsum of theilium, which maybe felt through thethin and weakened muscles in its new situation; or, it may befelt roughened and lying at the bottom of a cavity in a cariouscondition, as represented by the small figure in the accompanyingplate 238. Diagnosis.—As the symptoms indicating the development ofcoxalgia are not always well marked, the disease is liable to beconfounded with several other affections sometimes attacking thisjoint. Those which are most lik
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