. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . tenapjiearance. The epiphyseal portion has disappearedwholly or in part, and a ragged, softened end of bone ar-ticulates with an acelabulum covered with fungous gran-ulations in part or wholl_v replacing cartilage. The wholeepiphysis may form one sequestrum, although this is notcommon, and perforation of the floor of the acetabulummaj take ]ilace, resulting in suppuration inside the pelvis,with tlie formation of an abscess. Abscess will, as well,appear externally,
. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . tenapjiearance. The epiphyseal portion has disappearedwholly or in part, and a ragged, softened end of bone ar-ticulates with an acelabulum covered with fungous gran-ulations in part or wholl_v replacing cartilage. The wholeepiphysis may form one sequestrum, although this is notcommon, and perforation of the floor of the acetabulummaj take ]ilace, resulting in suppuration inside the pelvis,with tlie formation of an abscess. Abscess will, as well,appear externally, if the disease extends into the periartic-ular tissues or it a separate focus forms outside the jointand spreads to surrounding soft parts. A natural cureof hip disease may occur by absorption or calcification ofthe diseased focvis at an early or late stage, or by thepurulent degeneration of such tissue, discharging andevacuating externally. Ankylosis, shortening of thelimb, and much impairment of the general health are thenatural results of these conditions (Fig. 2999). The beginning of the affection is usually gradual. The. Fig. 3nfl9.—Head of Femur Erodeil, Partly Destroyed, Partly Disli> .cared. Fibrous ankylosis, n. Head of femur; /*, eroded bead offemur; c, ankylosis; cU acetabulum. tXicbols.) child will be noticed to limji at times. This lameness iu-cieases, and it will he found that the patient is inclinedto strike the ball of the foot rather than the heel in walk-ing ; although the heel can be jnit down to the floor, yet 266 REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. iustiuctively tlie kuee is slightly beut aud the lieel ??vsedwhen the weiglit of the truuk falls on the liip. There isa certain amount of stiffness of gait apparent in the morn-ing when the patientfirst gets out of bed,and after sitting for awhile: this passes awayafter the patient haswalked or played symptoms may atfirst be unaccomjianiedby pain, but later thereis an occasi
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