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March 31, 1923


JAMA. 1923;80(13):914-915. doi:10.1001/jama.1923.26430400002012b

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History.  —M. B., aged 13, a schoolgirl, seen, Nov. 10, 1920, complained of pain in the left hip and knee, of one year's duration. The family history was negative for bone tumors or congenital dislocation of the hip. The patient had had no serious illnesses. Birth had been difficult, with breech presentation, and instrumental delivery following version. No abnormality of the hips was noted at this time. The patient walked at the usual time, but had always limped. No relief was sought for the painless limp, until the child was 11 years of age, when the limp became worse and was accompanied by pain in the left hip and knee. A physician made a diagnosis of rheumatism. The pain and limp had continued.

Physical Findings.  —The general physical examination was negative. The patient walked with a marked left-sided limp, with characteristic left side-sway when weight was shifted to the left

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