A treatise on orthopedic surgery . are, inthis deformity, normal in ap-pearance and function. Theswagger of lumbar Potts diseaseis also somewhat similar, butthis is an acquired painful dis-ease of the spine, in which thehip-joints are normial in appear-ance and usually so in function. Pseudoliypertrophic paralysismay be mentioned as causing asomewhat similar gait and at-titude, but here the resemblanceceases. As has been stated, the diag-nosis of congenital dislocationcan be easily made by physicalexamination; the only real diffi-culty is experienced in certain dislocations or subluxations oft
A treatise on orthopedic surgery . are, inthis deformity, normal in ap-pearance and function. Theswagger of lumbar Potts diseaseis also somewhat similar, butthis is an acquired painful dis-ease of the spine, in which thehip-joints are normial in appear-ance and usually so in function. Pseudoliypertrophic paralysismay be mentioned as causing asomewhat similar gait and at-titude, but here the resemblanceceases. As has been stated, the diag-nosis of congenital dislocationcan be easily made by physicalexamination; the only real diffi-culty is experienced in certain dislocations or subluxations ofthe anterior type and in cases seen in early infancy in whichthe dislocation may be incomplete, but opportunity for suchearly diagnosis is rarely offered. In doubtful cases a Roentgenpicture will demonstrate the character of the disability (). Treatment.—Dupuytren, in 1829, after a careful study of theanatomy of the deformity, came to the conclusion that it wasnot only incurable but that palliation of its effects even was. Bilateral dislocation in adoles-cence. This patient was practi-cally disabled by pain and weakness. 548 OSTHOFEDIC SUBGEEY. hardly attainable: and for sixty years the statement was gen-erally accepted, althotigh cures were attained in all probabilityby Pravaz. of Lyons. 1S47, and at a much later time by Paci,of Pisa. 1SS7. The term dislocation naturally suggests replacement and re-tention of the displaced bone in its proper place, and in 1S90Hoffa first performed this operation with success by opening thejoint from Ix-hind and enlarging the rtidimentary acetabulumto a size sufficient to contain the head of the bone. The detailsof the 023eration were afterward modified by ^ and atthe present time the original operation has been to a gTeat ex-tent supplanted by bloodless reposition, but to Hoffa belongs thecredit for the introdtictiou of the modern treatment of thisdisability. Treatment by the Lorenz Operation of Bloodless Reduction,Retention, a
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
