. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . uddenly interrupting sleep and awakening the patient,aud leaving an ill-defined sense of an aching in the thighand hip. The sensitiveness of the joint may become great, andan acute stage supervene during which the slightestmovement of the patient, or jar of the bed or room,causes extreme suffering. The limb is flexed at thethigh, everted and abducted or adducted (Fig. 3001).This stage may come suddenly and then gradually passaway, the pain diminishing slowly under
. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . uddenly interrupting sleep and awakening the patient,aud leaving an ill-defined sense of an aching in the thighand hip. The sensitiveness of the joint may become great, andan acute stage supervene during which the slightestmovement of the patient, or jar of the bed or room,causes extreme suffering. The limb is flexed at thethigh, everted and abducted or adducted (Fig. 3001).This stage may come suddenly and then gradually passaway, the pain diminishing slowly under the enforcedtreatment of rest, but it may be prolonged for patient w-ill by degrees become able to move the limb,or to steady the limb with the sound limb or with thehands. Characteristic is a position frequently taken bythe patient, wdio places the well foot on the dorsum ofthe foot of the affected limb, exerting pressure away fromthe acetabulum. Neither adduction nor abduction of the diseased limb ischaracteristic of the disease from the Brst: they may throughout the whole affection. Abduction may not. Fig. olKll.— AlKlnctinn und Eversion in a Very Aeule Case. be present, and adduction may not aiqiear until late inthe disease, Alropliy. A marked atrophy of the muscles of thethigh and of the glutsi is characteristic. It is supposedto lie reflex to the disease of the joint, and if the musclesof the thigh are tested for contnictility to the irritation ofthe faradic cuirent, it will be found that the contractility 267 REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. is markedly diminished. Tlie upper part of the thighand the tissues in the vicinity of the hip may becomeswollen, particularly the lymjihatic glands of the groin 1^^^ A\ fJ^BI^ tl^k ^^^^^^^Hi^fei^
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