. Manual of operative surgery. ed. Difficulty is found in 64 lOIO CONGENITAL LUXATION OF THE HIP going up and down stairs and walking long distances is impossible. Afterpuberty a rapid increase is noted and if compelled to earn their livelihood thesepatients try to obtain a sitting occupation. Even then they are sufferers,and from time to time, at least temporarily, are compelled to rest in bed. Whilethere may be intervals when they are free from pain, slill they are liable to bedisabled at any time, and so they pass a more or less miserable existence. Ifpain is at all constant it prevents the


. Manual of operative surgery. ed. Difficulty is found in 64 lOIO CONGENITAL LUXATION OF THE HIP going up and down stairs and walking long distances is impossible. Afterpuberty a rapid increase is noted and if compelled to earn their livelihood thesepatients try to obtain a sitting occupation. Even then they are sufferers,and from time to time, at least temporarily, are compelled to rest in bed. Whilethere may be intervals when they are free from pain, slill they are liable to bedisabled at any time, and so they pass a more or less miserable existence. Ifpain is at all constant it prevents them from taking a sufficient amount ofexercise and this with advancing years causes them to take on fat and increase inweight which all tends to aggravate their distress, and their condition oftenbecomes pitiable. Anatomy.—The bony changes are marked. The acetabulum (Fig. 1250)is less in size than normal, it loses its round form and becomes narrowed atthe sides, thus making it longer vertically than in its horizontal axis. The.


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Keywords: ., bookcentury1900, bookdecade1920, bookpublisherphila, bookyear1921