Distraction in the treatment of hip disease / by Edward H. Bradford and Robert W. Lovett.

  • Bradford, Edward H. (Edward Hickling), 1848-1926.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Distraction in the treatment of hip disease / by Edward H. Bradford and Robert W. Lovett. 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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    partment after their discharge from the hospital as well as in the wards of the hospital during the acute stages when necessary. They do not represent the best results which can be obtained under more thorough nursing, under the direction of a trained nurse or an intelligent mother in exceptional cases. They are hospital cases treated in a rou- tine way. They are intended to illustrate the fact that in cases thoroughly and properly treated by traction subluxa- tion can be prevented; that in cases of the severer types, if treated early, some motion of the hip joint can be pre- served ; and that in the less severe cases, or cases where prompt and early treatment was possible, this can be ex- pected. In the cases here reported the diagnosis of hip disease was certain. All cases were rejected where the evidence of hip disease was doubted, both from the records and from the statements of the examiners. The record of motion is also without doubt in the cases where it is recorded, as it was made with particular care, and all cases were rejected where there was any doubt. The motion was tested by placing the patient on the back, with one hand upon the pelvis, the other manipulating the thigh. The examination, diagnosis, and subsequent observation were made by experienced ob- servers. The cases had all been under observation for a long period. The cases may be grouped: First, as those of hip dis- ease of a severe type, as proved by the development of ab- scess or the arrest of growth ; second, cases without ab- scess, but with persistent spasm, limitation of motion, and deformity, and a long period of pain and sensitiveness; third, the lighter form of disease treated before the severe symptoms had been developed. These cases may be re- garded as representative ones seen in the clinic at the Children’s Hospital where continued treatment was care- fully carried out. OASES OF 8EVEHEK TYPE. Case I. Annie F. entered the out-patient department of 110 hospital in February, 1888, being at that time fifteen years ° ' J *le ‘bsease bad been in progress for two years, one of W 10 'Ul^ ^een spent in bed. Pain bad been severe and night crus fiequent. An abscess had formed, and the joint was