A treatise on orthopedic surgery . ng, i/> inch; apparent shortening, 2 inches; differencebetween real and practical shortening, 11^ inches; pelvic meas-urement, 1 inches. If we follow the line for fl/o inches until ^ E. W. Lovett, Boston Medical and Surgical Journal, March 8, 1888. TUBEBCULOUS DISEASE OF THE HIP-JOINT. 331 it intersects the line for pelvic breadth of 7 inches, we find 12degrees to be the angular deformity, as the practical shorteningis greater than the real, it is 12 degrees of adduction of the leftleg. If apparent lengthening is present its amount should beadded to the am
A treatise on orthopedic surgery . ng, i/> inch; apparent shortening, 2 inches; differencebetween real and practical shortening, 11^ inches; pelvic meas-urement, 1 inches. If we follow the line for fl/o inches until ^ E. W. Lovett, Boston Medical and Surgical Journal, March 8, 1888. TUBEBCULOUS DISEASE OF THE HIP-JOINT. 331 it intersects the line for pelvic breadth of 7 inches, we find 12degrees to be the angular deformity, as the practical shorteningis greater than the real, it is 12 degrees of adduction of the leftleg. If apparent lengthening is present its amount should beadded to the amount of actual shortening. If flexion is present the degree may. be ascertained by raisingthe flexed limb until the lumbar spine touches the table, whenthe angle formed by the thigh with the body may be measuredwith the goniometer (Fig. 215) or its degree may be ascer-tained by Kingsleys table (p. 332). The patient lies upon a table flat on his back and thesurgeon flexes the diseased leg, raising it by the foot until the Fig. A C Kingsleys method of estimating flexion. lumbar vertebrae touch the table, showing that the pelvis is inthe correct position. The leg is then held for a minute at thatangle, the knee being extended, while the surgeon measures offtwo feet on the outside of the leg with a tape measure, one endof which is held on the table, so that the tape measure followsthe line of the leg (A-B). From this point on the leg (B)where the two feet reach by the tape measure one measures per-pendicularly to the table (B-C), and the number of inches inthe line B-C can be read as degrees of flexion of the thigh byconsulting Table II. For instance, if the distance between thepoint on the leg and the table is 12^ inches it represents 31degrees of flexion deformity of the thigh. 332 ORTHOPEDIC SUSGEBY. Table for Estimating the Degree of Flexion.^ inches. 1° inches. 16° inches. 31° inches. 50° 2 17 33 52 3 19 34 19.) 54
Size: 2297px × 1088px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
