A treatise on orthopedic surgery . sm is absent, exceptduring exacerbations due to injury or overstrain, and move-ment is not limited in all directions, but only in abduction,flexion, and inward rotation when the deformity is of theordinary type. Actual shortening is a late symptom of hipdisease, while it is present from the very onset of coxa is a shortening explained by the elevation of the trochanterabove iNelatons line, while such elevation in hip disease is asign of destruction either of the head of the bone or of a partof the acetabulum. The deformity in young subjects might be r
A treatise on orthopedic surgery . sm is absent, exceptduring exacerbations due to injury or overstrain, and move-ment is not limited in all directions, but only in abduction,flexion, and inward rotation when the deformity is of theordinary type. Actual shortening is a late symptom of hipdisease, while it is present from the very onset of coxa is a shortening explained by the elevation of the trochanterabove iNelatons line, while such elevation in hip disease is asign of destruction either of the head of the bone or of a partof the acetabulum. The deformity in young subjects might be readily mistakenfor congenital dislocation of the hip, particularly of the an-terior variety, but this would be excluded by the history, sincecoxa vara is essentially an acquired deformity. The diagnosis 580 ORTHOPEDIC SUBGEBT. between the two affections may be easily made on the physicalsigns alone. In congenital dislocation, if the thigh be flexed andadducted to its extreme limit, the head and neck of the dis- FiG. 384. Fig.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
