. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . rapti of sauie ( as Fijj. 3013. sboOTng Indistinctrnesti of Lower End of Femur, where Focus of Disease is Situated. It is not uncommon to see cases with the usual symp-toms of hip disease at an early stage, viz., limping gait,muscular atrophy, stiffness, restriction of motion at thejoint, peculiar tind characteristic attitude, and slightpain persisting perhaps for weeks, yet in which completerecovery takes place in a few weeks or months. In acase of this sort


. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . rapti of sauie ( as Fijj. 3013. sboOTng Indistinctrnesti of Lower End of Femur, where Focus of Disease is Situated. It is not uncommon to see cases with the usual symp-toms of hip disease at an early stage, viz., limping gait,muscular atrophy, stiffness, restriction of motion at thejoint, peculiar tind characteristic attitude, and slightpain persisting perhaps for weeks, yet in which completerecovery takes place in a few weeks or months. In acase of this sort death occurred from intercurrent dis-ease six months later, ami the remains of a synovitis, inthe form of thickening and congestion of a part of thesynovial membrane, were found. The course of acute, subacute, or chronic synovitis ofthe hip-joint (if limited to the synovial membrane and not ^_ FIG. 30U.—Tuherculnus Knee in Adult. Generalsyn\i;ii tiilien-iiltsis. Lnr^re irreffular area of tu-tien-uliiis .snftenirif; in epipliyseal end of xteiHiiiii. ml joint alon^ crucial ligaments, a, focus, (\icliols.). extending to the cartilage or boue) is not so protracted asthat of epiphvseal ostitis. Synovitis ot the hip-joint from traumatism may occurin sprains and contusions; the extent and course of such 272 REFERENCE HANDBOOK OF THE IVfEDICAL SCIENCES. , synovitis depend upon tiie nature and amount of the in-jury. In patients with a predisposition to tuberculosis,such injuries may ])rnduce tuberculous disease. III. Arthritisbefartiiausoi thehip-joint (senilecoxitis,mahun ;, malum senile, etc.), occurs chiefly in adults,hut in children at times. It may be limited to the hip or


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