. The diseases of children : medical and surgical. Fig. 154.—-Diagram showing at A, A (in ver-tical shading) the parts most commonlyafifected in Hip Disease, b is the trochan-teric epiphysis. The lower A points to the calcar. (Altered from Barwell.) Fig. 155.—There is a large sequestrum in theneck The head, which is still cartilage-covered but is almost detached, is proppedup by a quill. Vascular perforations areseen in the marginal cartilage. Removedpost mortem. most frequent. Indeed, our own belief, based mainly upon examination ofsome 150 cases of excision of our own, is that in true chroni
. The diseases of children : medical and surgical. Fig. 154.—-Diagram showing at A, A (in ver-tical shading) the parts most commonlyafifected in Hip Disease, b is the trochan-teric epiphysis. The lower A points to the calcar. (Altered from Barwell.) Fig. 155.—There is a large sequestrum in theneck The head, which is still cartilage-covered but is almost detached, is proppedup by a quill. Vascular perforations areseen in the marginal cartilage. Removedpost mortem. most frequent. Indeed, our own belief, based mainly upon examination ofsome 150 cases of excision of our own, is that in true chronic morbus coxae,such as we ordinarily see, and also in the acute and rapidly destructive cases,the disease begins almost invariably in the bone. In older patients a primarysynovitis is more frequent, but in children an acute, subacute, or chronicinflammation of the upper epiphysis of the femur or its neighbourhood is byfar the most common condition. In some cases the disease begins in theneck of the femur, and when this is so it is generally t
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