. The American journal of roentgenology, radium therapy and nuclear medicine . to the explanation for the condition, be-cause the relations of the diaphysis andepiphysis at the head of the femur are pe-culiarly favorable to slipping, providingthat there is a disturbance in the weight ofthe patient and strength of the parts. The diagnosis of the condition is based,then, upon the history of pain in the hipjoint and, in some cases, pain referred tothe knee. The onset may be rapid or grad-ual, and the progress of the case may beacute, or in other cases interrupted byperiods when no symptoms whatev
. The American journal of roentgenology, radium therapy and nuclear medicine . to the explanation for the condition, be-cause the relations of the diaphysis andepiphysis at the head of the femur are pe-culiarly favorable to slipping, providingthat there is a disturbance in the weight ofthe patient and strength of the parts. The diagnosis of the condition is based,then, upon the history of pain in the hipjoint and, in some cases, pain referred tothe knee. The onset may be rapid or grad-ual, and the progress of the case may beacute, or in other cases interrupted byperiods when no symptoms whatever pre-sent themselves. These symptoms, then,are at variance with those described in. Case VII, Plates. Jan. 2, 1919. Plate shows an extremeepiphyseal separation with demineralization of fem-oral head. Case VII, Plate 6. June 4, 1919. Result after appro-priate manipulation and fixation. but we are of the belief that it is the mani-festation of some general condition, prob-ably associated with disturbed internal se-cretion. As previously stated, all of theactive cases occurred at the age of pubertyand there was evidence of abnormal inter-nal secretion, since the patients were all ofthe feminine type and showed excessivedevelopment. It was suggested that lues was the eti-ological factor, but this was ruled out liythe usual tests for this condition. The fact that all our separations involvethe hip joint only would offer no objection Robert and Kellys treatise on fracturesand in Tubbeys Disease of Bones andJoints, and in these works the only etio-logical factor given is that of trauma. Stereoscopic plates made of the affectedhip show a general loss of the lime salts,and mo
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