. The therapeutical applications of peroxide of hydrogen (medicinal), glycozone, hydrozone and eye balsam . ving been relieved, nothing now obstructs the free action of theadductors, and the limb is therefore adducted and inverted. So far as I know, this hypothesis of the Germans, approved and indorsed by , is the only explanation we now have of the etiology of the various deformities ofthe hip-joint disease. Barwell offers none; but makes among others, a broad statementthat, It is true that flexors are probably, in all limbs, stronger than extensors. A moment of thought will convince
. The therapeutical applications of peroxide of hydrogen (medicinal), glycozone, hydrozone and eye balsam . ving been relieved, nothing now obstructs the free action of theadductors, and the limb is therefore adducted and inverted. So far as I know, this hypothesis of the Germans, approved and indorsed by , is the only explanation we now have of the etiology of the various deformities ofthe hip-joint disease. Barwell offers none; but makes among others, a broad statementthat, It is true that flexors are probably, in all limbs, stronger than extensors. A moment of thought will convince us that this last statement is certainly an error. In the knee-joint the quadriceps is much stronger than the flexors. This we havedemonstrated in the course of our experimental work, and it will be published same is also true of the hip-joint. The fluid hypothesis is certainly erroneous, forthe following reasons: I-. A very large per cent, of cases of morbus coxarius are unattended by fluideffusions. Still, the same picture of deformity is seen as in those cases attended by 2. I have observed in our clinics and have operated upon cases of extra-capsulardisease, in which the joint 7oas not diseased but the same picture of deformity presenteditself. Barwell says (p. 292) While inflammation, or even suppuration about the epiphysisof the femur arises, certain pains, forms of lameness, etc., are produced, while as yetthere is no effusion or suppuration within the joint cavity; no morbid change of theparts which form its walls. We have, namely, so-called symptoms of morbus coxarius,while as yet in the hip (joint) there is no disease. *3* 3. Cases of suppurating joints with large effusions, often take the erratic deformi-ties of the third stage—/.(, flexion, and outward rotation—even after thejoint contents have discharged. 4. There can be no reason why, after the evacuation of the joint, the limb shouldnot return to the deformity of the se
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