A further view of the management of the deformity of hip disease / by A.B. Judson.

  • Judson, Adoniram Brown, 1837-1916.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: A further view of the management of the deformity 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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    DEFORMITY OF HIP DISEASE. By a. B. JUDSON, M.D., NEW YORK. Having tested by further experience the value of a promising method of preventing and correcting the deformity of hip disease, I desire to call attention to the subject again. In a paper read before the Association in 1889 a number of clinical facts were set in order, and from them deductions were made in favor of this method, which, omitting preliminary and argumentative matter, may be said to con- sist in the education of the patient, wearing the hip splint, to the habitual observance of the normal rhythm of human locomotion. At the risk of repetition, I will recall a few points. The deformity and factitious shortening are caused by the patient’s instinctive and habitual effort to keep the affected limb clear of the ground by elevating the pelvis on that side, with adduction as a necessary accompaniment (flexion and adduction are here considered in the same category). The patient does this to escape the pain which might come from a sudden and unexpected contact of the foot with the ground, and also to withhold the bad foot from the ground in favor of the well one, which hastens forward to do the work. The result is that the affected foot visits the ground for a moment only while the well one lingers on the ground, and the natural rhythm, or time, is destroyed. True time may be expressed as follows: One—two—one—two—one—two—one—two, and false time thus : One—two one—two one—two one—two one—two. It is found that if the patient gives up false and resumes true time, which can be done by an effort of the will or as the result of drill, the affected limb gives up some of its adduction and flexion, in order to reach the ground more conveniently to do its share of tlie work ;