| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ||||||||||||||||||||||||||||||||||||||||||||||
Royal Liverpool United Hospital (David Lewis Northern Hospital)
This excerpt was created in the absence of an abstract.
Enlargement of the head of the femur occurs in several pathological conditions affecting the hip joint. Notable amongst these are congenital subluxation, pseudo-coxalgia and occasionally in suppurative or tuberculous arthritis.
Ferguson and Howorth (1934) described this condition following temporary synovitis of the hip, and the present series comprises six patients who developed progressive enlargement of the upper femoral epiphysis following synovitis.
The condition occurs before the fusion of the upper femoral epiphysis. The youngest patient was twenty-two months and the eldest fourteen years. The distribution between the sexes was equal; three of the patients were boys and three girls.
As in those cases recorded by Ferguson and Howorth, all the patients in this series had suffered from fairly severe infections during the six months preceding the development of hip symptoms.
The nature of this infection varied; two of the patients suffered from septic sores on the legs, one had suffered from repeated attacks of tonsillitis, one had a brain abscess, and one acute mastoiditis. The sixth, the youngest, however, had the history of a very severe and prolonged reaction following antidiphtheria inoculation, and it was considered at the time that the serum must have been contaminated.
The relationship of this condition to general infection can only be suggested, since young children often contact severe infections. Nevertheless, a careful history on each occasion elicited the fact that these children had been ill for periods exceeding five weeks.
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| BJR | DMFR | IMAGING | ALL BIR JOURNALS |
