A treatise on orthopedic surgery . Apparent lengthening. When theabducted limb is brought to themedian line the pelvis is so tilted thatit seems longer. (See Pig. 212.) Right angular flexion in hip diseasepartly concealed by the compensatorylordosis and by the flexion at the kneeand ankle. it is the direct effect of injury it indicates disease, and if thisdisease is chronic and confined to a single joint it is, in childhoodat least, almost always tuberculous in character. At first therestriction of motion is caused almost entirely by reflex muscular 314 ORTHOPEDIC SUBGEBY. spasm, as is shown b
A treatise on orthopedic surgery . Apparent lengthening. When theabducted limb is brought to themedian line the pelvis is so tilted thatit seems longer. (See Pig. 212.) Right angular flexion in hip diseasepartly concealed by the compensatorylordosis and by the flexion at the kneeand ankle. it is the direct effect of injury it indicates disease, and if thisdisease is chronic and confined to a single joint it is, in childhoodat least, almost always tuberculous in character. At first therestriction of motion is caused almost entirely by reflex muscular 314 ORTHOPEDIC SUBGEBY. spasm, as is shown by the fact that when the patient is anaes-thetized the range of motion becomes practically free. As thedestructive process progresses motion is still further restrainedby adhesions and contractions within and without the joint. Distortion of the Limb.—-Persistent reflex muscular spasm isalways accompanied by a certain change in the attitude of thelimb, slight flexion being the earliest indication of distortionhere as at every ot
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
