Lectures on orthopedic surgery . Fig. 95.—Same patient shown in Fig 94 ; flexion-deformity of left hip reduced. years old is brought for examination. A vague historyof irritability may be alone complained of, or pain maybe occasioned when the child is washed. The surgeonis to find out in the first place whether there is an in-flamed joint, and if so, on which side. The child isgently put upon the table, while the surgeon, withoutexciting alarm, holds a knee in either hand. The 138 thighs are slowly flexed toward the chest, when it isobserved that one easily yields to full flexion while theothe
Lectures on orthopedic surgery . Fig. 95.—Same patient shown in Fig 94 ; flexion-deformity of left hip reduced. years old is brought for examination. A vague historyof irritability may be alone complained of, or pain maybe occasioned when the child is washed. The surgeonis to find out in the first place whether there is an in-flamed joint, and if so, on which side. The child isgently put upon the table, while the surgeon, withoutexciting alarm, holds a knee in either hand. The 138 thighs are slowly flexed toward the chest, when it isobserved that one easily yields to full flexion while theother becomes a little rigid. The stifi hip is thengently allowed to fall while the sound one is fullyflexed. It will then be perceived that the diseasedlimb remains at an angle and cannot be fully must be laid upon the necessity of not startlingthe child and of not using the slightest force; while. Fig. 96,—Testing the movements at the hip-joint. care must be taken first not to flex the pelvis upon thespine, and secondly, to conduct the examination uponan even, flat surface. Although this test is not abso-lutely diagnostic, if the hip be complained of, and pel-vic, vertebral, sacro-iliac and malignant disease be nega-tived, one can fairly infer the presence of complications of hip-disease are abscess, sponta- 139 neous dislocation and separation of the head of thefemur from the neck. Abscesses occur in about half of all casesVhere treat-ment is not commenced very early. They may be pre-sent in any relation to the joint, but the most frequentposition for the first abscess to appear is somewhatbelow and to the inner side of the anterior superiorspine of the ilium. An abscess may appear early inthe disease or at any timeduring its course. It is usu-ally ushered in by a periodof pain, night-cries, and in-crease of deformity ; tiexionis always present, and ab-duction is
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectorthopedics, bookyear
