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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    line drawn from the anterior superior spinous process. The base of the right ilio-femoral triangle measured one inch and a quarter. The shoi?ening of the left leg, as measured at the knee and ankle- joints, was one inch and a quarter. The head of the left femur moves up and down with a little extension through nearly one inch. The head of the femur is displaced upward and a little backward on to the dorsum ilii. The lameness in walkiug is very great, and she turns the left foot a little outward, but not so much as in many cases. The left leg is altogether rather smaller than the right, and the muscles comparatively flabby, the glutei included. The left thigh is one inch smaller than the right; and the left calf is half an inch smaller than the right. History. This was the second child and the labor easy, and pre- sentation natural. On July 19, 1890, the extension treatment was commenced, and as soon as the mother, a very intelligent lady and devoted ^ to her daughter, had mastered the details of the extension couch, with Dr. Buck's assistance and the help of a trained nurse, this young lady was taken to the seaside. On November 3, 1890, I visited this patient again, and met Dr. Buck, and now we found that the base of the left ilio-femoral tri- angle measured one inch, with moderate extension in the recumbent position. The base of the right triangle measured one inch and a quarter. On February 27, 1891, I again saw this patient with Dr. Buck, and the progress was in every way satisfactory. The base of the left ilio-femoral triangle now measured one inch and a quarter, when a moderate amount of extension was made in the recumbent position ; and the base of the right triangle was also one inch and a quarter. On July 17, 1891, I met Dr. Buck again in consultation in this case, and we found that the improvement had been well maintained. The base of the left ilio-femoral triangle measured one inch and a quarter with a moderate amount of extension in the recumbent posi- tion ; and the base of the right was also one inch and a quarter. On February 5,1892, Dr. Buck again made careful examinations