The Hip And Its Diseases

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" I have had cases come under observation a second time, after a lapse of many months, and the history of a recent invasion would be given, when I would remember the name, look over my records, and find the same case noted with similar signs. These had subsided to a great degree, and in the interval only an occasional limp after exercise would be ap- parent. Cases exactly like these I have had under observa- tion in the hospital, and the only signs I could detect, on repeated examinations at lo...ng intervals, would be a slight, yet appreciable amount of resistance to flexion when carried beyond eighty degrees, and to rotation or to abduction. A limp was not always recognized. , The point, then, I endeavor to make is this: that an acute primary synovitis has a distinct period of invasion, and fur- nishes a clear and well-defined clinical history. The following case referred to me for hospital treatment by Dr. Wm. T. Bull, on September 19, 1879, illustrates a not very severe type of the disease.

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