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In cases of tuberculous hip, beginning insidiously, a limp is the first thing to attract the attention of the parents. It may be that this limp will disappear in two or three weeks, only to return after a varying interval up to three months. As a rule it is slowly progressive until a marked degree of disability exists.
Stiffness in the joint on the side affected may now be noticed, and any irritation of the joint causes an involuntary contraction of the muscles which resist any effort that is made to move the limb. The joint is held firm by these muscles, thus causing the pelvis to move with the limb. This muscular spasm is present in many forms of inflammation of the joint, but its catchy character and persistence are the strongest points in the diagnosis of hip disease. Hyperextension and rotation are the two motions most likely to
BERRY WT. HIP-JOINT TUBERCULOSIS: ITS EARLIER SYMPTOMS AND TREATMENT.. JAMA. 1908;L(21):1677–1678. doi:10.1001/jama.1908.25310470015001d
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