Spontaneous dislocation of left hip joint, occuring in the course of scarlatinal rheumatism : complicated with necrosis of right tibia, and partial dislocation of right knee backwards / by John Ewens.

  • Ewens, John.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Spontaneous dislocation of left hip joint, occuring in the course of scarlatinal rheumatism : complicated with necrosis of right tibia, and partial dislocation of right knee backwards / by John Ewens. 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.

    4/16 (page 4)
    Fig. i. The left hip is dislocated, so that the head of the bone lies low down on the dorsum ilii, where it can be felt. There is three-fourths of an inch shortening, and the trochanter is slightly raised with regard to Nelaton’s line. The limb is markedly rotated inwards, adducted, and flexed, so that the knee would rest over the other limb if it were not abducted. muscles of the right leg generally are atrophied, as com- pared with the left. There is a scar extending from the spine of the tibia down three-quarters of the leg, indicating the extent of the gouging. The limb is rotated outwards at the hip and flexed, and though movement of the joint is painless and free in certain directions, yet it is impos- sible to rotate the limb inwards, or adduct, or fully flex it. Only abduction and rotation outward, and flexion to a certain extent are possible, and the limb lies abducted, rotated outwards, and flexed. There is no dislocation.