oform, camphor,
alcoholic frictions, warm fomentations, blisters, setons, etc. Unless
the conclusions of experience are to be ignored, my own judgment is
decisive in favor of rest, judiciously applied, however, and my view of
what constitutes a judicious application of rest has been more than once
presented in these pages. There are degrees of this rest. One
contemplates simple immobility in a narrow stall. Another means the
enforced mobility of the slings and a narrow stall as well. Another a
box stall, with ample latitude as to posture and space, and option to
stand or lie down. As wide as this range may appear to be, radical
recovery has occurred under all of these modified forms of _letting our
patients alone._
HIP LAMENESS.
The etiology of injuries and diseases of the hip is one and the same
with that of the shoulder. The same causes operate and the same results
follow. The only essential change, with an important exception, which
would be necessary in passing from one region to the other in a
description of its anatomy, its physiology, and its pathology would be a
substitution of anatomical names in reference to certain bones,
articulations, muscles, ligaments, and membranes concerned in the
injuries and diseases described. It would be only a useless repetition
to cover again the ground over which we have so recently passed in
recital of the manner in which certain forms of external violence
(falls, blows, kicks, etc.) result in other certain forms of lesion
(luxation, fracture, periostitis, ostitis, etc.), and to recapitulate
the items of treatment and the names of the medicaments proper to use.
The same rules of diagnosis and the same indications and prognosis are
applicable equally to every portion of the organism, with only such
modifications in applying dressings and apparatus as may be required by
differences of conformation and other minor circumstances, which must
suggest themselves to the judgment of every experienced observer when
the occasion arrives for its exercise.
An exception is to be made, while considering the subject in connection
with the region now under advisement, in respect to the formidable
affection known as morbus coxarius, or hip-joint disease; and leaving
the detail of other lesions to take their place under other heads, that
relating to the shoulder, for instance, we turn to the hip joint and its
ailments as the chief subject of our present consideration.
_Symptoms._--In in
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