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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    fortuuately without meeting my friend, Dr. Buck, who died a short time since from an acute febrile attack. Miss G. has now been walking with the hip-joint instrument and crutches for a year, but the raised boot and iron patten have been discontinued. She still sleeps on the extension-couch with slight extension. The base of the left ilio-femoral triangle measures one inch and a quarter, and that of the right one inch and a half. The shortening of the left leg, as measured at the malleoli, is rather less than half an inch. On June 29, 1894, I went again to see Miss G., who is steadily improving, and I directed that she might leave off the instrument half the day, and the crutches gradually. The measurements the same as before. There is no spinal curvature whatever, and no tilt- ing oi the pelvis. The shortening of the leg seems only to be a quarter of an inch. On July 23, 1895, this young lady was brought to see me, and it is now five years since the treatment commenced. Nothing could be more satisfactory than the result gained. She is wearing an or- dinary boot, raised only a quarter of an inch inside. She walks with only a slight limp, and this seems to be chiefly due to some loss of the flexibility at the ankle-joint caused by a slight contrac- tion of the Achilles tendon. I have seen this in one or two other instances, but it always yields to massage with passive movements of flexion and extension. There is no spinal curvature, nor is there any tilting of the pelvis. The base of the left ilio-femoral triangle measures one inch and an eighth, and that of the right one inch and a half. Case V. Congenital displacement of the left hip-joint treated hy recumbency with extension for nearly three years.—Miss D. H., aged six years, in February, 1890, was brought to me on May 6, 1890. All the objective symptoms of the congenital displacement of the left hip-joint. The ilio-femoral triangle on the left side was oblit- erated, as the top of the great trochanter rose a little above the level of the horizontal line drawn from the anterior superior spin- ous process. The base of the ilio-femoral triangle on the right side measured one inch and a quarter.