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February 27, 1909

AN UNUSUAL CONGENITAL DEFORMITYABSENCE OF BOTH FEMORAL HEADS AND NECKS

JAMA. 1909;LII(9):700. doi:10.1001/jama.1909.25420350026002c

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Abstract

An eminent general surgeon referred a child to me, Nov. 5, 1908, for operation for congenital dislocation of both hips. The patient had been referred to him by an ex-interne of Cook County Hospital practicing in a distant state.

The patient was a female child, aged 7½ years. Her attitude in standing and walking was typical of bilateral congenital dislocation of the hips (Figs. 1 and 2). The hips were prominent; the greater trochanters showed with unusual distinctness; there was marked lordosis of the lumbar spine; the child waddled when she walked; the adduction of the legs was limited; the lordosis could be corrected by flexing both thighs to 50 degrees or one thigh to 90 degrees.

The child had rachitic enlargement of the bone ends at the wrists, ankles and knees, and there was a moderate degree of knock-knee. She had pigeon-breast and flaring lower ribs, and the head

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