Annals of surgery . 25 cm. At the calf of the leg bothcircumferences are the same—31 cm. Motion not much interferedwith. Walk not much changed, though at the time I first saw herthere was a pronounced limp. Gluteal crease is higher on leftthan right, though it was very slight. Measurements.— Right anterosuperior spine to right ex-ternal malleolus, ; right internal malleolus, ; left antero-superior spine to left external malleolus, ; left internalmalleolus, Greater trochanter.— above Nelatons line on theright; .25 below Nelatons line on the left. Case III.—Mr. K., 42 ye
Annals of surgery . 25 cm. At the calf of the leg bothcircumferences are the same—31 cm. Motion not much interferedwith. Walk not much changed, though at the time I first saw herthere was a pronounced limp. Gluteal crease is higher on leftthan right, though it was very slight. Measurements.— Right anterosuperior spine to right ex-ternal malleolus, ; right internal malleolus, ; left antero-superior spine to left external malleolus, ; left internalmalleolus, Greater trochanter.— above Nelatons line on theright; .25 below Nelatons line on the left. Case III.—Mr. K., 42 years—clerk. Onset.—First began about January i, 1906, to notice a sore-ness in right hip; this would be particularly aggravated shouldhe have to stand for some time. Soreness.—Often he would lie down for a few minutes, thenhe would be relieved. It was always much worse towards night,while in the morning after a good sleep it would be the soreness and aching increased until it became al-. Fig. io.—Case II. COXA VARA. 943 most unbearable; he says that on walking a sense of beatingwould be felt in the affected Pain.—On stopping and resting the limb, the pain and beat-ing would cease, especially if he could sit or lie down. Some-times on walking the pain would be so severe that he could notgo for more than twenty-five yards without resting. The painseemed to be present on the external surface of the limb overthe greater trochanter; the bone felt as though it were had a slight tired feeling on the external surface of theright leg below the knee. Limp.—About one week after he first felt the pain, a limpbecame noticeable; he says that his right leg would give way andbe very painful whenever he would rest his weight on it. History.—He fell down an elevator shaft, four stories inheight, about three years before the development of the hiptrouble. On falling he lit on both feet. No trouble was appar-ent afterwards until the present
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
