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Updated: May 5, 2025
And when within a few years it was further demonstrated in rapid succession that most of the diseases of the spine in children, of the group of symptoms associated with enlarged glands or kernels in the neck and known as "scrofula" or struma, most cases of hip-joint disease, of white swelling of the knee, a large percentage of chronic ulcerations of the skin known as lupus, a common form of fatal bowel disease in children, and many instances of peritonitis in adults, together with fully half of the fatal cases of convulsions in children, were due to the activity of this same ubiquitous bacillus, it looked as if the enemy were hopelessly entrenched against attack.
Such things run in families, observed Richard, rising with alacrity to render the desired assistance. My father, and my grandfather before him, were both celebrated for their knowledge of surgery; they were not, like Marmaduke here, puffed up with an accidental thing, such as the time when he drew in the hip-joint of the man who was thrown from his horse; that was the fall before you came into the settlement, doctor; but they were men who were taught the thing regularly, spending half their lives in learning those little niceties; though, for the matter of that, my grandfather was a college-bred physician, and the best in the colony, too that is, in his neighborhood.
But as it would be rather awkward to lose his remaining leg altogether he modified the idea and contents himself with collecting the smaller amounts which ordinary fractures of the hip-joint entitle such an expert 'fine worker' to receive. "He first appeared here in 1874 and succeeded, it is alleged, in beating the Life Association of America.
With the occurrence of suppuration the disease becomes more active, and abscesses may form in the soft parts and in the adjacent joint. In the vertebral column, hydatids give rise to angular deformity and paraplegia. In the pelvis, there is usually great enlargement of the bones, and when suppuration occurs it is apt to infect the hip-joint and to terminate fatally.
Park mentions an instance of rupture of the sciatic nerve caused by a patient giving a violent lurch during an operation at the hip-joint. The instances occasionally observed of recovery of an injured leg after extensive severance and loss of substance are most marvelous.
Ashhurst remarks that Luckie, Alexander, Koehler, Lowman, and Armstrong have successfully removed both legs and one arm simultaneously for frost-bite, all the patients making excellent recoveries in spite of their mutilations; he adds that he himself has successfully resorted to synchronous amputation of the right hip-joint and left leg for a railroad injury occurring in a lad of fifteen, and has twice synchronously amputated three limbs from the same patient, one case recovering.
Carey was lying in bed at the time, under an apparently fatal fever following dislocation of the hip-joint. He had lost his footing when stepping from his boat. Surgical science was then less equal to such a case than it is now, and for nine days he suffered agony, which on the tenth resulted in fever.
On one occasion a steamboat captain refused to take him as a passenger. Treves exhibited him twice before the Pathological Society of London. His affection was not elephantiasis, but a complication of congenital hypertrophy of certain bones and pachydermatocele and papilloma of the skin. From his youth he suffered from a disease of the left hip-joint.
At the lower spine are two more ribs, extended horizontally when open, jointed again to the hips, and long enough to meet the joint on the contrary side cross the belly; and from the hip-joint, which is on the outermost edge of the hip-bone, runs a pliable cartilage quite down the outside of the thigh and leg to the ankle; from which there branch out divers other ribs horizontally also when open, but when closed, they encompass the whole thigh and leg, rolling inwards cross the back of the leg and thigh till they reach and just cover the cartilage.
Belinovski gives an account of a hip-joint amputation and extirpation of a fatty caudal extremity, the only one he had ever observed. Before the Berlin Anthropological Society there were presented two adult male Papuans, in good health and spirits, who had been brought from New Guinea; their coccygeal bones projected 1 1/2 inches.
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