A system of surgery : theoretical and practical . some very important features in the disease men-tioned above. This is (1) the stage of flexion with abduction and eversion, (2) thatof flexion with adduction and inversion without shortening, (3) that of flexion, adduc-tion and inversion with shortening. These clinical phenomena, it will be seen, correspondpretty closely with (1) inflammation without softening of the capsular structures,(2) softening of the latter, but little or no destruction of bone as yet, (3) softeningof the capsular structures with loss of bone substance. With this divisio
A system of surgery : theoretical and practical . some very important features in the disease men-tioned above. This is (1) the stage of flexion with abduction and eversion, (2) thatof flexion with adduction and inversion without shortening, (3) that of flexion, adduc-tion and inversion with shortening. These clinical phenomena, it will be seen, correspondpretty closely with (1) inflammation without softening of the capsular structures,(2) softening of the latter, but little or no destruction of bone as yet, (3) softeningof the capsular structures with loss of bone substance. With this division it wouldperhaps be easier to speak more distinctly on the question of treatment suitableto the difibrent phases of the affection. Fig. 78.—Dislocation of Hip from disease. (Froma preparation in the Museum of St. GeorgesHospital.) Fig. 79.—The Acetabulum almost filledup with bony deposit after recoveryfrom Hip-disease, in which the headof the femur was dislocated. (Froma preparation in the Museum of Hospital. Series iii. ). The treatmerit of these strumous aflfections of the joints, as far as it is general,has already been considered (p. 343), where we have seen that what is most called foris absolute functional rest for the part, with improvement of the general vitality ofthe body and local measures to reduce hypersemia. In the case of the hip, the firstof these calls is not difficult to meet, if the patient be confined to the horizontalposition. But such confinement would in most cases be injurious, as tending todebilitate the patient and so to lower his vitality. It should not therefore beresorted to except in very early cases, and where a properly constructed couch onwheels enable the patient to have fresh air and change. Fortunately, wepossess means whereby the limb may be completely immobilised, and at the sametime the patient be allowed both fresh air and even exercise of the other parts of thebody. One of the best of these is the splint and
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