Clinical surgeryExtracts from the reports of surgical practice between the years 1860-1876Translated from the original, and edited, with annotations, by CTDent . ed into the hospital some osteo-myehtis was going on in the upper part of the bone. ^ This case has been minutely described by Gussenbauer in the Archivfiir Klin. Chirurg., Bd. xviii, PATHOLOGICAL DISLOCATION OF THE HIP. 435 Pathological luxation of the hip into the foramen ovale. The case was that of a boy, set. 8, in whom from no known cause severepain had commenced some months previously in the right hip-joint. Hewas kept at
Clinical surgeryExtracts from the reports of surgical practice between the years 1860-1876Translated from the original, and edited, with annotations, by CTDent . ed into the hospital some osteo-myehtis was going on in the upper part of the bone. ^ This case has been minutely described by Gussenbauer in the Archivfiir Klin. Chirurg., Bd. xviii, PATHOLOGICAL DISLOCATION OF THE HIP. 435 Pathological luxation of the hip into the foramen ovale. The case was that of a boy, set. 8, in whom from no known cause severepain had commenced some months previously in the right hip-joint. Hewas kept at rest, and various local applications were made ; abscess graduallyformed, and broke in the groin. The thigh was much flexed, abducted, andoutwardly rotated at this period of the disease. Gradually the abscess healedup, and all pain in the part ceased, but the position of the thigh remainedunaltered. On careful examination, there seemed to be no doubt that thehead of the femur was displaced downwards and inwards, just above the lowerrim of the foramen ovale (see Fig. 22). There was a fair amount of move,ment. Fig. 22.—Pathological Luxation of the I came to the conclusion that the case was one of those rareinstances where the capsule had become perforated after acute 436 CHKONIC INFLAMMATION OF KNEE-JOINT, suppuration, and true dislocation had taken place though no cariesexisted. In order to facilitate extension by means of weights, I divided some tensebands of the fascia lata subcutaneously. Unluckily this was followed byrather tedious suppuration, and when the wound had healed up, an eight-pound weight had no effect, although good counter-extension was kept up onthe pelvis. The patient was then placed thoroughly under the influence ofchlorofonn, and I tried to effect reduction by divers manipulations ; however,my efforts met with no success; no improvement followed the use ofSchneider-Mennels apparatus. The head of the bone appeaied the chiefobstacle to reduction, an
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