A treatise on orthopedic surgery . or a lump onthe buttock, or a snap-ping about the hip-joint,or a peculiar attitude ofthe limb before this Dislocation—If the displacement is ofone side, a limp is imme-diately apparent, whichbecomes more noticeableas the child gTows older. Congenital dislocation of both hips, illus- The limp is peculiar, andtrating the separation of the thighs, the j-j-g diaracter is explainedabnormal breadth of the pelvic region, . pit and the prominent trochanters. by itS CaUSC ; lor the short- ened limb, owing to theelasticity of the capsule, becomes still
A treatise on orthopedic surgery . or a lump onthe buttock, or a snap-ping about the hip-joint,or a peculiar attitude ofthe limb before this Dislocation—If the displacement is ofone side, a limp is imme-diately apparent, whichbecomes more noticeableas the child gTows older. Congenital dislocation of both hips, illus- The limp is peculiar, andtrating the separation of the thighs, the j-j-g diaracter is explainedabnormal breadth of the pelvic region, . pit and the prominent trochanters. by itS CaUSC ; lor the short- ened limb, owing to theelasticity of the capsule, becomes still shorter when the weightfalls wpon it; thus in walking there is a peculiar lunge of thebody toward the short side, that has been likened to the motionin walking down stairs. In the ordinary form, the head ofthe femur is displaced upward and backward, and in com-pensation the pelvis is tilted toward the short limb and its in-clination is increased; it is thus twisted downward and forward Zeits. f. Orth. Chir., 1902. Bd. x., H. CONGENITAL DISLOCATION OF HIP AND COXA VABA. 543 SO that the anterior superior sj^ine lies at a lower level and inadvance of that of the opposite side (Figs. 351 and 352). At an early age the shortening of the limb, due to the eleva-tion of the trochanter, is from one-half to three-quarters of aninch. In later childhood the elevation is from one and one-halfto two inches, anddn adult life it may be considerably more. Fig. 354.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
