Identifier: annualanalytica03sajo (find matches)
Title: Annual and analytical cyclopaedia of practical medicine
Year: 1898 (1890s)
Authors: Sajous, Charles E. de M. (Charles Eucharist de Medicis), 1852-1929
Subjects: Medicine Medicine
Publisher: Philadelphia : F.A. Davis Co.
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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much lessdistinctly marked than on the well but-tock. In cases where the joint is the seatof an acute infection, following measles,scarlet-fever, or the like, the same trainof symptoms will be present, though theprogress of the disease will be much morerapid, while, combined with the localsymptoms, will be found those of generalsystemic infection, and under these cir-cumstances disintegration of the jointmay progress with remarkable activity. In syphilis of the hip, on the contrary,the disease may have been present formonths without the occurrence of painsufficient to attract the parents atten-tion. It is only when a marked limp be-comes noticeable that medical advice issought, and in some of these cases whenmarked dcfoi-)iiity is present and joint- 468 HIP-JOINT DISEASE. SYMPTOMS. spasm is very pronounced, manipulationseems to give rise to but trifling incon-venience, and the parents at times areloath to believe that serious trouble ex-ists, because the child complains so verylittle.
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Fibrous ankylosis of the left hip-joint fol-lowing typhoid fever, relieved by hrisementford. In tuberculosis of the liip the pain atthe outset is not apt to be marked; but,should an abscess form in the femur orthe disease progress until the cartilage becomes involved, the pain becomes mostexquisite, children often crying severelyfrom the jar occasioned by a person walk-ing on the floor, and so shaking the bed.In some of these cases there is a dis-tinct history of traumatism, and in othersit seems impossible to find preciselywhen the disease began. Many of thecases which come to the surgeon withthe history that the first symptoms werenoted by the parents a few days previous,being evidently of very long standing.The inattention of the parents to thetrifling limp which the child exhibits,and the fact that it did not at first com-plain of pain sufficiently to attract theirattention, being responsible for this.Quite frequently these children complainof being stiff on rising in the morning,

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