A treatise on the etiology, pathology, and treatment of congenital dislocations of the head of the femur / by John Murray Carnochan.

  • Carnochan, J. M. (John Murray), 1817-1887.
Date:
1850
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on the etiology, pathology, and treatment of congenital dislocations of the head of the femur / by John Murray Carnochan. 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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    the affected side. In congenital dislocation, flexion of the joint is perfnnned with great ease, while in the hip-dis- ease, the same movement is attended with pain, and the patient shrinks from the touch. In congenital luxation, when the patient is laid in the recumbent position, the deformity which is so evident in the erect attitude, disappears, and the head of the femur on the affected side, can be pushed upwards or drawn downwards, or rotated, without causing any uneasi- ness ; whereas in hip-disease, any attempt to elongate by forcible traction the limb of the diseased side, is attended with great pain. In hip-disease, during rotation of the thigh outwards, the head of the femur can generally be felt in the groin, occupying its natural place; in congenital luxation, the head and trochanter major can be felt above the acetabu- lum, on the surface of the ilium, while a palpable vacuity exists in the groin, opposite the acetabulum. In hip-disease, the nates becomes flat, so that the usual niche between the buttock and the thigh is effaced; while in -the congenital affection, this furrow is present, although situated higher up, and more curved outwards than natural. Before the occurrence of spontaneous dislocation— which, as a result of ulceration of the border of the acetabulum, sometimes takes place, although rarely, in morbus coxarius—the thigh being flexed at right angles