File:Lectures on orthopedic surgery (1899) (14590153159).jpg

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Identifier: lecturesonortho00ridl (find matches)
Title: Lectures on orthopedic surgery
Year: 1899 (1890s)
Authors: Ridlon, John, 1852-1936 Thomas, Hugh Owen, 1834-1891 Jones, Robert, joint author
Subjects: Orthopedics
Publisher: Philadelphia, E. Stern & Co., Inc.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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;from tip of greater trochanter to external condyle of femur,no shortening : from tip of internal condyle to inner malle-olus, J inch shortening. The circumference of the rightthigh was f inch less than the left, and the right ca f ^ inchless than the left The Rontgen photograph, Fig. 230, shows the condi-tion of affairs at the hip. The head of the femur isdepressed; the neck shortened; and the trochantericregion thickened and somewhat lessened in density.There does not appear any evidence of present or pastdisease of the hip-joint itself. Fig. 231 shows the condi-tion of affairs at the knee. The upper end of the tibiais thickened; less dense; has irregular notches andprojections at the sides, and three transverse linessomewhat resembling the single lines that appear atthe epiphyseal junctions of bones in young children. 289 A comparison of these pictures with the Kontgen pic-tures of ordinary infantile rickets demonstrates themarked difference that exists between the two con-ditions.
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Fig. 232.—Adolescent rickets, showing knockknee. The patient holds a Thomasknockknee brace in his left hand. When much thickening takes place in the bone ends^whether at the hip or knee, but more especially at thehip, the range of motion will be diminished to someextent. At the hip, abduction is restricted more than 290 the other motions, and next to abduction rotation isrestricted. Treatment during the progress of the disease may,and probably does, lessen the amount of deformity. Atthe knee, braces should be applied in the same way as

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