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June 4, 1887


JAMA. 1887;VIII(23):624-625. doi:10.1001/jama.1887.02391480008001c

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Mr. A. A. B., aged 32 years, Canadian parentage, about four years ago received a severe fall upon the right hip when alighting from a moving train. To all appearances he soon recovered from the immediate effects of this injury, About two years afterwards his hip-joint commenced paining him upon excessive exercise or fatiguing use of the limb, and in the course of another year he complained of pain in the knee-joint. This was the history of the case when I first saw it in August, 1886. The right limb was apparently three-fourths of an inch longer than its fellow, and the right foot slightly everted. He complained of excessive fatigue in the joint on walking, especially if the ground was rough, and if he accidentally stubbed his toe the pain in the joint was quite severe. Upon sneezing, he would instinctly seize the affected limb in order to lessen

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