Some remarks on morbus coxarius, with an account of P.S. Physick's method of treating this disease / by J. Randolph.

  • Randolph, J. (Jacob), 1796-1848.
Date:
1831
Catalogue details

Licence: Public Domain Mark

Credit: Some remarks on morbus coxarius, with an account of P.S. Physick's method of treating this disease / by J. Randolph. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    MORBUS COXARIUS, &C. THE success which Professor Physick has met with from his mode of treating hip disease, has been so highly encouraging, as to induce him to believe that he can effect a cure in all recent cases, and in many even of long standing, provided the joint be not disor- ganized. Most persons acquainted with the nature and treatment of diseases of the joints, must be aware of the tediousness and uncertainty which attend the ordinary modes of treatment, and those who have wit- nessed successful results, must know that they have only been ob- tained by a steady perseverance in the use of the proper remedies. It is extremely probable that a large portion of the profession in this country have received some intimation of Dr. Physick's method of treating morbus coxarius; but it is much to be feared that others, from ignorance of his precise plan, and of the extent to which he carries it, have in many instances employed it unsuccessfully. It is unnecessary to enter into an examination of the various opinions which have been entertained respecting the nature of the complaint; it being sufficient for my purpose to observe, that the investigations of the best modern pathologists have led to the conclusion, that in morbus coxarius the cartilage of the hip joint is the part primarily af- fected, and that in ordinary cases, this is found to be in a state of ulceration. The profession are infinitely indebted to Mr. Brodie for the valuable information he has communicated respecting the morbid anatomy of the part concerned in this disease; he has enjoyed opportunities of making dissections in the various stages of the com- plaint, and he states the following to be its progress:— 1st. Ulceration takes place in the cartilages: generally in that of the aceta- bulum first, and in that of the head of the femur afterwards; sometimes it be- gins in both at the same time. 2d. The ulceration extends to the bones, which become carious; the head of the femur is diminished in size, and the acetabu- lum is rendered deeper and wider. 3d. Abscess forms in the joint, which after some time makes its way by ulceration, through the synovial membranes and