A Biennial Retrospect of Medicine, Surgery and Their Allied Sciences 1869-70

A Biennial Retrospect of Medicine, Surgery and Their Allied Sciences 1869-70

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1871 edition. Excerpt: ...tibia, spine, and hip. Hip-joint disease.--Mr. Bryant agrees with Mr. Holmes that morbus coxae has no necessary connexion with struma. He says it would be well to get rid of the erroneous notion that hip disease, or any other joint disease, has its origin in a constitutional cause, for, till that is effected, the local treatment is likely to bo disregarded or considered as of only secondary importance, when all who have much experience in the treatment of these cases will admit that local treatment cannot be made of too prominent importance. Mr. Bryant thinks that it is very important to distinguish whether the hip disease begins in the synovial membrane or in the bone. He inclines to the opinion, from the numerous specimens of disease of the bone which may be seen in the museums, that it is anything but uncommon for the disease to begin in the bone. The clinical distinction must, in many cases, be very difficult. The points to be attended to are, first, that in synovitis of the joints effusion quickly occurs; if, therefore, some swelling can be made out, possibly even deep fluctuation, with pain on pressure on the great trochanter, the disease is probably synovial. In disease of the articular extremity of the bone, however, an aching of tho part may be the only early symptom, and this may continue for a long while. There is no fulness of the affected region till the disease has existed for some time, then the end of the bone may be noticed to be enlarged, and there will be increased heat, generally intermittent. In a later stage of the disease, if synovial, pressure on the trochanter will be much better borne than if the disease be in the bone; generally movement will be better borne. If tho joint disease result from an accident, the progress...show more

Product details

  • Paperback | 308 pages
  • 189 x 246 x 17mm | 553g
  • Rarebooksclub.com
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236634136
  • 9781236634139