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Show 98 msLocs'non or run sprnz. DISEASE OF THE HIP JOINT, rm ,., _ __ be aggra. patient and that the symptoms of concussion will "Interests," ....--..v__..,._., t , i i-l t it, " r MI: ~ v".'"Z" "Wheeler!".i 7"? r~W t .v~'.v-:.'tr<~;~v~r er'T‘N‘e/y be ~11" -..,» . s vertebral vated by the blood efl‘used from the ruptured veins. degree of But another effect may be the result of a lesser the neck is thus injury to the ligaments of the spine, when body. The twisted under the pressure and falling of the n the canal of whole soft parts around the bone, and withi may arise a there that the vertebrm, may be so injured , and consethickening of the sheath of the vertebral canal thought quent pressure of the spinal marrow; or I have a slow uce prod may ow that the injury to the spinal marr disease in it, which at last destroys its function, and makes , ushall the body below paralytic. If a train of symptoms or spine, the of twist ering in paralysis, should succeed to a such all to any kind of injury, we shall be led to employ ufi‘i means as are proved in caries of the spine to be efl‘eet se. for removing the deep~seated disea CHAPTER Va 01" THE DISEASE OF THE HIP JOINT rl‘nrs is a scrophulous disease-It is most common in youth, from childhood to the twenty-fifth year; but the same disease attacks those of sixty years of age. The disease begins with a deep-seated pain behind the troehanter major ; the pain being aggravated by motion, the patient, in walking, ' throws the weight of the body on the opposite side, and there is consequently an aukward crippling gait. Exercise, we are told, in the beginning of the disease relieves the pain, but it is aggravated in the stiffness after fatigue. When the disease is formed, and while yet in its first stage, the limb is lengthened. This is not merely a feeling of greater length in the limb, occasioned by the inflammation and increased sensibility of the parts which form the hip joint, but there is a filling up of the acetabulum, and a pro» trusion of the head of the thigh bone from its socket. During this progress of the disease, there is as yet no (liscolouration of the skin ; but the hip is swelled over the joint, and, from want of use, the muscles of the hip are flabby. The troehanter major is prominent, and in consequence the hip is increased in breadth. Dr. Falconer observes, that there is to be felt an enlargement and projection of the tuberosity of the ischium as well as prominence of the thigh bone. With the want of exercise the leg and thigh waste, and, in the advanced state of the disease, the limb instead of being longer is considerably shorter. The difficulty in the motion of abduction or throwing the leg out sideways is considerably greater than that which is felt in moving the limb in any |
