A treatise on orthopedic surgery . the disease, and,finally, the adjoining surfaceof the acetabulum as a certain indeterminatenumber of cases the tubercu-lous process begins about theepiphyseal junctions of theacetabulum, and primary dis-ease of the synovial mem-brane may occur, althoughthis is certainly uncommonin childhood. From the clinical stand-point, primary disease of theacetabulum may be inferredif the patient is particularlysusceptible to movements ofthe trunk, or if lateral pres-sure on the pelvis causes pain; or if a Koentgen picture showsgreater erosion of the acetabulum th
A treatise on orthopedic surgery . the disease, and,finally, the adjoining surfaceof the acetabulum as a certain indeterminatenumber of cases the tubercu-lous process begins about theepiphyseal junctions of theacetabulum, and primary dis-ease of the synovial mem-brane may occur, althoughthis is certainly uncommonin childhood. From the clinical stand-point, primary disease of theacetabulum may be inferredif the patient is particularlysusceptible to movements ofthe trunk, or if lateral pres-sure on the pelvis causes pain; or if a Koentgen picture showsgreater erosion of the acetabulum than of the head of the femur(Fig. 209). There are other cases in which the symptoms ofthe disease are slight and in which swelling about the joint isnoticeable; in such cases it is probable that disease of the syno-vial membrane is present without marked involvement of thehead of the femur or of the acetabulum. In the common or osteal form of disease, while the tuber-culous process is still confined within the head of the femur,20. Wandering of the acetabulumdisease. (Krause.) in hip 306 OETHOPEDIC SUBGEET. the joint shows evidences of sympathetic irritation; the synovialmembrane is congested, and the ilnid within the joint is in-creased in quantity. These changes become more marked as thedisease progresses, the lining membrane becomes thickened andgranular, and adhesions between its folds lessen the capacity ofthe joint. An amount of tuberculous fluid, large enough to be Fig. 209.
Size: 1173px × 2130px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
