Notes on the dissection of a case of congenital dislocation of the head of the femur / by Francis J. Shepherd.

  • Shepherd, Francis J. (Francis John), 1851-1929.
Date:
[1880?]
Catalogue details

Licence: Public Domain Mark

Credit: Notes on the dissection of a case of congenital dislocation of the head of the femur / by Francis J. Shepherd. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    dorsal and lumbar regions was probably due to tlie atrophied condition of the psoas and iliacus muscles and their abnormal attachment to the old capsule. Probably during life, when the woman assumed the erect position, this anterior convexity Existed, though not to the great degree that is u.sual. (2.) The absence of the lesser trochanter was due no doubt to its having been torn away from its attachment to the femur at the time the dislocation occurred, and to its afterwards having been absorbed. This would account for the insertion of the psoas and iliacus tendon into the ol& capsule, the muscles thus having a very limited action would atrophy. This condition would also favour the opinion held by some that this form of dislocation is due to violence (at birth). (3.) There was no twisting forwards of the head and neck of the femur, a condition which is described by some, and which, had it existed, would have accounted for the eversion. The eversion of the limb may have been only a post-mortem symptom due to the relaxed state of the muscle, the large capsule, and small head of femur. Note.—The subject in which the above described dislocation occurred, owing to the unfortunate state of affairs in Canada, had been illegally obtained, so that no history could at the time be procured. I have since heard that this woman had suffered from “ lameness ” all her life, that she walked with a waddling motion, and also that she had borne a large family of children. This information I have fair reasons for supposing is authentic.