The therapeutical applications of hydrozone and glycozone . aving been relieved, nothing now obstructs the free action of theadductors, and the limb is therefore adducted and inverted. So far as I know, this hypothesis of the Germans, approved and indorsed by , is the only explanation we now have of the etiology of the various deformities ofthe hip-joint disease. Barwell offers none; but makes among others, a broad statementthat, It is true that flexors are probably, in all limbs, stronger than extensors. A moment of thought will convince us that this last statement is certainly an err
The therapeutical applications of hydrozone and glycozone . aving been relieved, nothing now obstructs the free action of theadductors, and the limb is therefore adducted and inverted. So far as I know, this hypothesis of the Germans, approved and indorsed by , is the only explanation we now have of the etiology of the various deformities ofthe hip-joint disease. Barwell offers none; but makes among others, a broad statementthat, It is true that flexors are probably, in all limbs, stronger than extensors. A moment of thought will convince us that this last statement is certainly an error. In the knee-joint the quadriceps is much stronger than the flexors. This we havedemonstrated in the course of our experimental work, and it will be published same is also true of the hip-joint. The fluid hypothesis is certainly erroneous, forthe following reasons: i. A very large per cent, of cases of morbus coxarius are unattended by fluideffusions. Still, the same picture of deformity is seen as in those casts attended by 2. I have observed in our clinics a«d have operated upon cases of extracapsulardisease, in which the joint was ?tot diseased but the same picture of deformity presenteditself. Barwell says (p. 292) While inflammation or even suppuration about the epiphysisof the femur arises, certain pains, forms of lameness, etc., are produced, while as yetthere is no effusion or suppuration within the joint cavity; no morbid change of theparts which form its walls. We have, namely, so-called symptoms of morbus coxarius,while as yet in the hip (joint) there is no disease. *39 3« Cases of suppurating1 joints with large effusions, often take the erratic deformi-ties of the third stage—i. e., abduction, flexion, and outward rotation—even after thejoint contents have discharged. 4. There can be no reason why, after the evacuation of the joint, the limb shouldnot return to the deformity of the second stage instead of the third; because the
Size: 1463px × 1708px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookpublishernewyork, bookyear19
