Observations on congenital displacement (the so-called congenital dislocation) at the hip-joint : and the success of Doctor Buckminster Brown's treatment by recumbency with extension for two years / by William Adams.

  • Adams, William, 1810-1900.
Date:
[1895?]
Catalogue details

Licence: Public Domain Mark

Credit: Observations on congenital displacement (the so-called congenital dislocation) at the hip-joint : and the success of Doctor Buckminster Brown's treatment by recumbency with extension for two years / by William Adams. Source: Wellcome Collection.

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    Drawing of right innominate bone, from an adult female, and upper portion of the corresponding femur, in the Museum of the Koyal College of Surgeons, No. 1888, without any history. It presents all the appearances described as characteristic of congenital displacement of the hip-joint, and there is no evi- dence of disease having existed, unless the changes in the head and neck of the femur, which are greater than seen in any other specimen, may be so regarded. The only description given in the 'Pathological Catalogue,' vol. ii., part 2, is as follows :—No. 1888. A similar specimen, with the head of the femur more reduced in size. Presented by Gilbert W. Macmurdo, Esq., 1867. Fig. 1.—The innominate bone very closely resembles the speci- men No. 1887, as to the seat of the depression from the head of the femur on the central portion of the dorsum ilii (a), above the sciatic notch; the character of the triangular depression (i), representing the acetabulum, with the complete absence of the projecting lip of the iliac segment of the acetabulum, and also the absence of any projecting margin on either side of the triangular depression ; also in the fact of the lower portion of the innominate bone, including the region which should naturally be occupied by the acetabulum, being much narrowed and elongated, producing a great alteration in the shape of the sciatic notch. The anterior inferior spinous process of the ilium is also remarkably twisted, and below it is a deep smooth depression, similar to that seen in the other specimen. No. 1887. The tuberosity and ascending ramus of the ischium are also both everted and twisted. Fig. 2.—Upper third of femur, said to belong to this specimen, but its characters are so entirely different from all the other speci- mens of the same case, that a suspicion of its not belonging to the same class naturally arises. In this specimen the head and neck of the femur have both disappeared, and are only represented by a small, flattened and expanded portion of dense ivory-like bone, with overhanging lips—somewhat of a mushroom shape (a), at the base of what should be the neck of femur, i. e. a little above the small trochanter. These appearances very much resemble those occasion- ally met with in cases of chronic rheumatic arthritis, in which the atrophic changes predominate; and, so far as I know, they have not been met with or described in cases of congenital displacement of the hip-joint.