The management of the abscesses of hip disease / by A.B. Judson.

  • Judson, Adoniram Brown, 1837-1916.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: The management of the abscesses of hip disease / by A.B. Judson. 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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    there was an arrest of the discharge, with accumulation of pus, and some general reaction. A profuse discharge, which occurred spontaneously by the original sinus, promptly relieved the local and general symptoms. All of the usual symptoms and signs of osteitis of the hip joint have been observed in this case. Fif- teen months after the abscess broke the sinus was firmly cica- trized. At the present time, three months later, the patient is an active and robust school-boy, witfi good prospect of making an excellent recovery with useful motion in the joint. Case III.—A girl, aged seven. Left Ijip. Duration of dis- ease two months. A fluctuating tumor was detected six months after treatment was begun. Ten months later the tumor had reached an enormous size, and pointed on the inner side of the tliigh, presenting a small area of insensible integument, appar- ently the only barrier to the escape of the fluid. I am informed that the cliild opened the abscess while at play, using a pin for the purpose. There was a copious flood and a speedy collapse of the tumor, followed by a purulent discharge for five months. There were no symptoms attributable to the abscess before or after its opening. Throughout the treatment the patient wore the hip-splint day and night, as did all the patients whose cases are here reported. The child made a good recovery, with anky- losis. It is now three years and three months since the sinus closed, and two years and nine months since treatment was sus- pended. The scar is small, deeply depressed, and attached to the bone, and the girl is in perfect health. Case IV.—A boy, aged four and a half. Right hip. Duration of the disease one year. Fifteen months after treatment was begun a fluctuating tumor was found over the great trochanter. It slowly increased until it extended on the outer and posterior surface from above the trochanter to the junction of the middle and lower thirds of the thigh. It then slowly decreased, and twenty-one months after it was first noticed it had disappeared. The tissues on the posterior surface of the thigh, however, re- mained condensed, and, three months after the disappearance of the tumor was recorded, two sinuses appeared on the outer and posterior surface of the thigh, and two months later a third appeared on the outer surface. They digc-harged freely, and,