A treatise on orthopedic surgery . parent shortening of thelimb in unilateral coxavara. Actual shortening,three-fourths of an inch;apparent shortening, twoand a half inches. The de-formity of the epiphysealtype was apparently in-duced by overexertion. (Seeskiagram, Fig. 382.) placed bone can be outlined beneath the distended tissues ofthe buttock. In coxa vara nothing but the prominent tro-chanter can be made out on similar manipulation, while theabnormal mobility, characteristic of the dislocation, is absent. CONGENITAL DISLOCATION OF EIP AND COXA VAEA. 581 There is, however, a form of anteri
A treatise on orthopedic surgery . parent shortening of thelimb in unilateral coxavara. Actual shortening,three-fourths of an inch;apparent shortening, twoand a half inches. The de-formity of the epiphysealtype was apparently in-duced by overexertion. (Seeskiagram, Fig. 382.) placed bone can be outlined beneath the distended tissues ofthe buttock. In coxa vara nothing but the prominent tro-chanter can be made out on similar manipulation, while theabnormal mobility, characteristic of the dislocation, is absent. CONGENITAL DISLOCATION OF EIP AND COXA VAEA. 581 There is, however, a form of anterior dislocation in which thehead of the femnr has a secure support beneath the anteriorsuperior spine in which diagnosis from the physical signs alonemay he somewhat more difficult. An X-ray picture will alwaysmake the distinction clear, however. Treatment.—If the deformity were discovered in the earlystage, one might hope to check its progress by an avoidance ofthe exciting causes. For example, long standing or work of Fig. Double coxa vara of advanced degree, showing the involuntary crossingof the limbs in flexion. any kind that induces the familiar symptoms of strain shouldbe discontinued. As much time as possible should be spent inthe open air, and diet and proper remedies should be employedif evidence of constitutional weakness or rhachitis is presentas in early childhood. Locally, massage of the limbs and joints and forciblemanipulation, with the aim of overcoming as much of the re-striction of the range of abduction as may depend upon thesecondary changes in the soft parts, should be employed, rein-forced by regular gymnastic exercises, with the object of im-proving the circulation, upon which the repair of the weakenedbone depends. 582 ORTHOPEDIC SUBGEBY. If the affection is •unilateral, due, for example, to injury withbut slight deformity a perineal crutch (Fig. 271) or, if the cir-cumstances of the patient permit, one of the convalescent hipsplints that permi
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
