Annual and analytical cyclopaedia of practical medicine . ssue, adhesions formingbetween the joint-surfaces, scar-tissuetaking the place of the granulations, andcontraction of the capsule limiting mo-tion on the joint. When the focus of disease is in theilium, the area of inflammation may ad-vance toward the pelvis as well as towardthe acetabulum, and in these cases theperiosteum lining of the ilium on itsinner side becomes much thickened. Attimes the entire bottom of the acetab-ulum may be absorbed and the head ofthe femur pass into the pelvis; at othertimes there is only a small hole through
Annual and analytical cyclopaedia of practical medicine . ssue, adhesions formingbetween the joint-surfaces, scar-tissuetaking the place of the granulations, andcontraction of the capsule limiting mo-tion on the joint. When the focus of disease is in theilium, the area of inflammation may ad-vance toward the pelvis as well as towardthe acetabulum, and in these cases theperiosteum lining of the ilium on itsinner side becomes much thickened. Attimes the entire bottom of the acetab-ulum may be absorbed and the head ofthe femur pass into the pelvis; at othertimes there is only a small hole throughwhich pus passes to form an abscesswhich may burst into the bladder orrectum or burrow under the adductortendons or out on the buttock. Even inthis condition recovery is not impossible. The size of the acetabulum is oftenincreased by the progress of erosion andalso by the action of reflex muscularspasm in crowding the head of the femuragainst the upper rim of the having been reported in which thehead of the bone lay inside the pelvis in. Comparison between tubercular and healthy hip-joints, showing absorption of the headand neck of the femur, rarefaction of the head, and absorption of the acetabulum. Normalside shows epiphysial cartilage below the head of the femur and cartilage in the acetabulum,where innominate bone has not yet ossified. Bandages and adhesive plasters shown on thighof diseased side. (Sayre.) HIP-JOINT DISEASE. PROGNOSIS. 477 ^nte of the limbs having been kept par-allel by plaster of Paris, which had pre-vented the occitrrence of deformity. The importance of this fact as bearingon the necessity of traction as well asfixation in the treatment of tlie diseaseshould not be overlooked. The erosion of the upper part of theacetabulum accounts for part of theshortening in some cases of hip of growth may give actualshortening of the femur, and it is notunusual to find that the leg and foot ofthe affected side are also smaller thant
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Keywords: ., bookauthors, bookcentury1800, bookdecade1890, booksubjectmedicine
