A treatise on orthopedic surgery . 17 years. 18 years. 19 years. 20 years. 21 years. 22 years. 23 years. 24 years. 25 years. 26 years. 27 years. 28 years. 29 years. 1145033123111141_121000 TUBERCULOUS DISEASE OF THE HIP-JOINT. 309 Age.—Hip disease is essentially a disease of early childhood,although no age is exempt. In a series of 1000 consecutive casesof hip disease tabulated for me by Ashley, formerly an assistantin the department, per cent, of the patients were in the firstdecade of life, and per cent, of these were from three to fiveyears of age, inclusive. Sex
A treatise on orthopedic surgery . 17 years. 18 years. 19 years. 20 years. 21 years. 22 years. 23 years. 24 years. 25 years. 26 years. 27 years. 28 years. 29 years. 1145033123111141_121000 TUBERCULOUS DISEASE OF THE HIP-JOINT. 309 Age.—Hip disease is essentially a disease of early childhood,although no age is exempt. In a series of 1000 consecutive casesof hip disease tabulated for me by Ashley, formerly an assistantin the department, per cent, of the patients were in the firstdecade of life, and per cent, of these were from three to fiveyears of age, inclusive. Sex.—Sex exercises but little influence in predisposition,although the disease is slightly more common among males thanamong females. In the 1000 cases referred to, 553 ( percent.) were in males, 447 were in females. In 3307 cases treated at the same institution, 53 per cent,were in males. Side Affected.—In disease of this as of other joints the right issomewhat more often affected than the left. In the 1000 cases Fig. Erosion of the head of the femur and destruction of the acetabulum. 506 were on the right side, 483 were on the left, and in 11 casesboth joints were involved. In a larger number of cases treatedin the department 53 per cent, were of the right joint. Symptoms.—Tuberculous disease of the hip-joint is a chronic,insidious affection characterized by painful periods often in-duced by overstrain or injury, or that indicate more rapidadvance of the destructive process, or infection with pyogenicgerms. In the early stage of the disease the joint is simply 310 OBTHOPEDIC SUBGEBY. sensitive, and the symptoms vary with the increase of the tensionwithin the bone, the susceptibility of the patient, and the strainto which the weakened part is subjected. This sensitiveness isfirst indicated by the involuntary adaptation of the body to theweakness of the affected joint, or, as popularly expressed, thepatient favors the limb. The important symptoms of disease of th
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
