A treatise on orthopedic surgery . 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. Erosion of the head of the femur and of the upper border of the of new bone (osteoph
A treatise on orthopedic surgery . 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. Erosion of the head of the femur and of the upper border of the of new bone (osteophytes) about the acetabulum. recognized as an abscess, is present in about half the cases atsome time during the course of the disease. This fluid usuallyfinds an exit from the capsule into the tissues of the thigh, butoccasionally it may pass through the acetabulum into the rare instances the disease may not enter the joint, but mayfind an 02:)ening in the neck through the adherent capsule. Insuch cases the joint is, in most instances, finally involved unlessthe disease is removed by surgical means. There are cases,also, in which the disease, confined within the head of the bone, TUBERCULOUS DISEASE OF THE HIP-JOINT. 307 SO weakens it that it becomes distorted to a marked degree with-out destruction of the cartilage. If the disease involves the neck of the bone it may sink down-ward, a form of coxa vara; or the head of the bone may beseparated at the epiphyseal junction,
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
