A treatise on orthopedic surgery . ical Journal, May 21, 1887.^New York Medical Eecord, March 2, 1878.^Beit. zur klin. Chir., 1895, Bd. xxx. * Die Spec. Tuberculose der Knoch u. Gelenke, Berlin, 1902. ^Arbeit aus der Chir. klin. der K. Univ. Berlin (Bergmanns clinic), 1896,Behand. der Gelenktuberculose und ihre Enxlresultate aus der klinikAlbert, Wien, 1894. Am. Med. J. Sci., Dec, 1908. * Boston Medical and Surgical Journal, March 6, 1879. ?388 OBTHOPEDIC SUBGEBY. often communicate with the joint. A second weak place is inthe posterior wall. In a total of 321 abscesses in hip disease recorded
A treatise on orthopedic surgery . ical Journal, May 21, 1887.^New York Medical Eecord, March 2, 1878.^Beit. zur klin. Chir., 1895, Bd. xxx. * Die Spec. Tuberculose der Knoch u. Gelenke, Berlin, 1902. ^Arbeit aus der Chir. klin. der K. Univ. Berlin (Bergmanns clinic), 1896,Behand. der Gelenktuberculose und ihre Enxlresultate aus der klinikAlbert, Wien, 1894. Am. Med. J. Sci., Dec, 1908. * Boston Medical and Surgical Journal, March 6, 1879. ?388 OBTHOPEDIC SUBGEBY. often communicate with the joint. A second weak place is inthe posterior wall. In a total of 321 abscesses in hip disease recorded by Koenig^the situation was as follows: On the inner side (inside the femoral artery) 26 Front of the joint (between artery and anterior superior spine) 126 Eegion of the trochanter 63 Posterior surface 49 In the pelvis 41 In other situations 16 The tuberculous abscess is a symptom and common accom-paniment of hip disease, which, in cases treated under properconditions, is not of great importance; and yet, on the other Fig. Abscess in hip disease. The brace is provided with the Thomas ring and withthe ratchet extension. hand, it is recognized as a dangerous complication. It is dan-gerous to life because of the profuse suppuration that may fol-low infection, and to function because of the adhesions and con-tractions that may result. This is evident in all statistics. Itis clearly shown in those of Bruns, In this list the mortalityin the non-suppurative cases was 23 per cent., and of the sup-purative 52 per cent. —If abscess appears early in the course of thedisease, it usually indicates that it is of a destructive character,and that the interior of the joint is involved; therefore, functionis less likely to be preserved than in those cases in which thedisease has been confined to the interior of the bone. Abscess formation is often preceded by pain, by an increase ^ Loe. cit. TUBEBCULOUS DISEASE OF THE HIP-JOINT. 389 of muscular spasm and consequent distort
Size: 2468px × 1012px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
