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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    been discharging for five months. Six months after treatment was begun the sinus permanently closed. At the present time, sixteen months after the sinus closed, the child is in per- fect health. The scar is deeply depressed, and attached to tissues near the femoral shaft. There is wide motion, 40° antero-posteriorly and 35° laterally, measured with the assist- ance of a goniometer devised by Dr. Gibney. That the case was one of hip disease, however, is evident from the following features, which were well marked: muscular atrophy, real shortening, frequently recurring pain in the knee for two years, contraction of the adductors, which was observed for two years, and for which section of the muscles was repeatedly advised,* deformity—the thigh being flexed 90° and adducted 35°—and pain on the slightest disturbance of the joint relieved by trac- tion or fixation. Case VII.—A boy, aged five. Left hip. Duration of disease two years. A sinus following an incision in the outer surface of the upper part of the thigh had been discharging for seven months. Six months after treatment was begun the sinus per- manently closed, and the boy made a good recovery, with anky- losis. One year after treatment was suspended the child was in excellent health, and the scar was deeply depressed and at- tached to the bone. Case VIII.—A boy, aged four. Left hip. Duration of dis- ease one year and six months. Four months after treatment was begun, pus was released by an incision in front of the great trochanter, and five months later another incision was made in the same region. Pus was discharged in varying quantities for six months, when the sinuses permanently closed. The patient remained under observation for twenty-two months longer, and, when last seen, was in good general condition, and in a fair way to make a good recovery, with ankylosis. Case IX.—A girl, aged nine. Right hip. Duration of dis- ease one year. Nine months after treatment was begun pus was released by an incision behind the great trochanter. A purulent discharge continued for two years and nine months, * Quando tandem chirurgi nostri praeclari discent contractionem re- flexam musculorum esse unam ex indicationibus coxalgiae ?