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October 13, 1917


Author Affiliations

Fellow of the American College of Surgeons; Fellow of the American College of Surgeons NEW YORK

JAMA. 1917;LXIX(15):1227-1233. doi:10.1001/jama.1917.02590420019006

The beginner in bone surgery is apt to think of the diagnosis of disease of the hip joint as a simple matter, but longer experience will convince him of his error. As pointed out by Gibney in 1884,1 the diseases of the hip are many, owing to different infections and pathologic processes, and may be located in the joint, in the bone adjacent to it, or in the soft parts. Many affections which were formerly classed as hip disease or tuberculosis of the hip, especially since the wide use of the roentgen ray in diagnosis, have come to be recognized as distinct conditions. Such conditions, now classed as separate affections, are coxa vara and slipped epiphysis, lesions fairly well known and not difficult to diagnose. More recently, osteochondritis of the hip, Perthes' disease, or quiet hip disease (Taylor2), a perfectly benign affection, has been studied and separated from