Congenital dislocation of the hip / by J. Jackson Clarke.

  • Clarke, J. Jackson.
Date:
1910
Catalogue details

Licence: In copyright

Credit: Congenital dislocation of the hip / by J. Jackson Clarke. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    weeks, but no evidence of tubercle found; tempera- ture regularly i° above normal. Patient had vulvitis on admission. Treatment : Manipulative reduction. The night after operation patient was restless. Pulse irregular ; temperature rose to ioi° F. on the fourth day, then fell to 99°, normal for this patient. For details of after-treat- ment, see Chapter VI., p. 55. Case 4.—Dorothy , aged three. Diagnosis: Left dislocation. Result : Relapse. Clinical notes : Patient small for age. Treatment : April 22, 1904, manipulative operation. May 3.—Patient walking in plaster case; the head of the femur could not be felt in the groin, showing that the dislocation had recurred ; patient was readmitted and the limb was put up in plaster again. This second plaster was removed October 2, 1904; the head of the femur was then internal to the femoral artery, and the trochanter was in Nelaton's line. The dislocation recurred a few months later. Open operation recom- mended, but declined by mother. Case 5.—Ethel , age nine. Diagnosis: Right dislocation. Result: Cured. Treatment: May 27, 1904, manipulative operation, with subcutaneous tenotomy of adductor longus. June 3,1904.—Left hospital. Right boot raised i\ inches. December 6, 1904.—Plaster removed; patient walked home. In this case there was a good deal of stiffness —i.e., resistance to diminishing abduction—owing to irregularity of the head of the femur, which was noted in the skiagraph. May 1, 1905.—Movement at the joint was more exten- sive and painless.