A treatise on orthopedic surgery . th abduction, and inward rotation withadduction, but in certain instances outward rotation may becombined with adduction and inward rotation with irregular attitudes are more often observed in cases thathave received mechanical or operative treatment than in thosein which the disease has pursued its natural course. As has been stated, the distortions of the early stage of hipdisease are caused almost entirely by muscular contraction whichrelaxes under the influence of an ansesthetic, but after a time theattitude is confirmed by accommodative c
A treatise on orthopedic surgery . th abduction, and inward rotation withadduction, but in certain instances outward rotation may becombined with adduction and inward rotation with irregular attitudes are more often observed in cases thathave received mechanical or operative treatment than in thosein which the disease has pursued its natural course. As has been stated, the distortions of the early stage of hipdisease are caused almost entirely by muscular contraction whichrelaxes under the influence of an ansesthetic, but after a time theattitude is confirmed by accommodative changes in the musclesand fasciae, and by contractions and adhesions about the an attitude originally a symptom persists after the cureof the disease. ^ Koenig, Das Hoeftgelenk, Berlin, 1902. 318 ORTHOPEDIC SURGEEY. One may conclude then that flexion is practically an invari-able symptom in hip disease because complete extension, theattitude that puts most strain upon the joint, is first restricted. Fig. 218. Fig.
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