Lectures on orthopedic surgery . Fig. 85.—Early stage of hip-dis-ease. Flexion and abductiondeformity s h o w iin g falselengthening. 126 Outward rotation or eversion of the limb usuallyaccompanies abduction, and inward rotation accom-panies adduction. Occasionally when there has beengreat destruction of the upper end of the femur, outwardrotation will be found associated with adduction. Thecause of the malpositions at the hip have not beenabsolutely determined ; but it would seem probable thatthe position of the tuberculous focus, together with the. Fig. 86.—Disease of the right hip. Marked f
Lectures on orthopedic surgery . Fig. 85.—Early stage of hip-dis-ease. Flexion and abductiondeformity s h o w iin g falselengthening. 126 Outward rotation or eversion of the limb usuallyaccompanies abduction, and inward rotation accom-panies adduction. Occasionally when there has beengreat destruction of the upper end of the femur, outwardrotation will be found associated with adduction. Thecause of the malpositions at the hip have not beenabsolutely determined ; but it would seem probable thatthe position of the tuberculous focus, together with the. Fig. 86.—Disease of the right hip. Marked flexion and adduction deformity. attitude assumed by the patient, determines the mal-position. The patient assumes the attitude of greatestcomfort, whether lying, sitting, or standing, and thisstrongly influences the deformity in the early stages ofthe affection. Later the malposition is determined bythe unbalanced force existing between the opposinggroups of muscles in their effort to immobilize the joint. 127 or between the muscular groups on the one hand and themechanical device employed in the treatment of thedisease on the other hand. Muscular shrinking, generally believed to be due toreflex influence, comes on early, is very constant, andmay be regarded as a very valuable symptom. It hasbeen claimed bv careful observers that this muscular
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectorthopedics, bookyear
