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Article
April 11, 1891

THE PREVENTION OF THE SHORT LEG OF HIP DISEASE.Read before the American Orthopœdic Association, at Boston, Mass. September 18, 1889.

Author Affiliations

ORTHOPÆDIC SURGEON TO THE OUT-PATIENT DEPARTMENT OF THE NEW YORK HOSPITAL.

JAMA. 1891;XVI(15):510-514. doi:10.1001/jama.1891.02410670006002
Abstract

A short leg is what is commonly dreaded as the result of hip disease. The shortening is not, however, as a rule, due to the shortening of the bones. What produces the short leg of hip disease is an immobilization of the joint which prevents the reduction of flexion of the thigh, or adduction of the thigh; or which, as too often happens, prevents the reduction of both flexion and adduction. If, for instance, the patient stands with the thigh considerably adducted, We will say 22.5 degrees, and fixed at that angle, the limb cannot be made vertical without elevation of that side of the pelvis, with of course a draw ing upward of the heel and an inevitable appear ance of shortening; and if the thigh is flexed, for example 45 degrees, and fixed at that angle, the limb cannot be made vertical without an inclination forward, which gives

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