Disease of the Hip Joint. Coxalgia.
This generally consists in inflammation of the synovial membrane and capsular ligament of the hip joint, ending frequently in ulceration and destruction of the head and neck of the thigh bone.
The symptoms are fullness in the groin; pain, which is increased by motion; aggravated when the limb bangs without touching the ground; is more felt in the knee than in the hip itself; and shoots down along the inside of the leg, as far as the instep. The thigh inclines forward, and the limb has the appearance of being longer than the other, though in the latter stages, it is really shorter.
Treatment. Before suppuration takes place, apply heat and friction, and enjoin perfect rest. After suppuration, keep the patient upon his back, on a mattress, and mould to the parts thick pasteboard splints, with pads, and give tonics. Keep the bowels open with senna and bicarbonate of potash, and rub the parts with iodide of potassium ointment, or with preparations (195), (196), (197). The disease being scrofulous, the iodide of potassium (140) may be taken with advantage internally. The disease occurs for the most part in children. They should be put on a long splint from the very fast and the joint kept immobilized.
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