Scaife ATLAS

On the Articulations (56-60)

urn:cts:greekLit:tlg0627.tlg010.perseus-eng2:56-60

Refs	`{'start': {'reference': '56', 'human_reference': 'Section 56'}, 'end': {'reference': '60', 'human_reference': 'Section 60'}}`
Ancestors	`[]`
Children	`[]`

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There are persons who, from birth or from disease, have dislocations outward of both the thighs; in them, then, the bones are affected in like manner, but the fleshy parts in their case lose their strength less; the legs, too, are plump and fleshy, except that there is some little deficiency at the inside, and they are plump because they have the equal use of both their legs, for in walking they totter equally to this side that. Their nates appear very prominent, from the displacement of the bones of the joint. But if in their case the bones do not sphacelate (become carious?) and if they do not become bent above the hip-joint, if nothing of this kind happen to them, they become otherwise sufficiently healthy, but the growth of all the rest of the body, with the exception of the head, is arrested.

In dislocations of the head of the femur backward, which rarely occur, the patient cannot extend the leg, either at the dislocated joint, or at the ham, to any extent, and of all the dislocations, this is the variety in which the patients have the least power of making extension at the groin and the ham. But, moreover, this also should be known (for it is a valuable piece of knowledge, and of much importance, and yet most yet most people are ignorant of it), that persons in health cannot extend the joint

p.256

at the ham, if they do not extend the joint at the groin at the same time, unless they raise the foot very high, for in this way they could do it; neither also could they bend the joint at the ham, but with much greater difficulty, if they do not bend the joint at the groin at the same time. There are many other things in the body which have similar connections, both with regard to the contractions of nerves (ligaments?), and the positions of muscles, and many of them more worthy of being known than is generally supposed, and with regard to the nature of the intestine and that of the whole internal cavity, and with regard to the displacements and contractions of the uterus; but all these things will be treated of elsewhere, in a work akin to the present one. But with regard to the matter on hand, they cannot make extension, as has been already stated; and the limb appears shortened, for two reasons-first, because it cannot be extended, and also because the bone has slipped into the flesh of the nates; for the head and neck of the femur, in this dislocation, are carried downward from their natural situation, to the outside of the nates. But yet they can bend the limb, unless prevented by pain, and the leg and foot appear pretty straight, and not much inclined toward either side, but at the groin the flesh, when felt, appears looser, from the bone of the joint having slipped to the other side, but at the nates the head of the femur may be felt to be more prominent than natural. Such are the symptoms accompanying dislocation of the thigh backward.

When this dislocation occurs in an adult, and is not reduced, he can walk, indeed, after a time, and when the pain has abated, and when he has been accustomed to rotate the articular bone in the flesh; he finds it necessary, however, to make strong flexion at the groin in walking, for two reasons, both because the limb, for the causes already stated, becomes much shorter, and he is far from touching the ground with his heel, and he can barely reach it with the ball of his foot, and not even thus, unless he bend himself at the groins, and also bend with the other leg at the ham. And in this case, he is under the necessity of supporting the upper part of the thigh with his hand at each step: this also contributes, in a certain degree, to make him bend the body

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at the groins; for, during the shifting of the feet in walking, the body cannot be supported on the unsound be supported on the unsound limb, unless it be pressed to the ground by the hand,-the end of the femur not being placed properly under the body, but having slipped backward to the nates; and if he should try to rest the weight of his body for a little, upon the foot, without any other support, he would fall backward, for there would be a great inclination in this direction, from the hips having protruded backward far beyond the line of the foot, and the spine inclining toward the hips. Such persons can walk, indeed, without a staff, if so accustomed, for because the sole of the foot is in its old line, and is not inclined outward, they do not require anything to balance them. Such, however, as, instead of grasping the thigh, prefer resting their weight upon a staff introduced into the armpit of the affected side, these, if they use a longer staff, will walk, indeed, more erect, but will not be able to reach the ground with the foot, or if they wish to rest upon the foot, they must take a shorter staff, and will require to bend the body at the groins. The wasting of the fleshy parts is analogous to what happens in the cases formerly described, for the wasting is greatest in those cases in which the patients keep the limb up, and do not exercise it, whilst those who practice walking, have the least atrophy. The sound leg, however, is not benefited, but is rather rendered more deformed, if the injured limb be applied to the ground, for it is forced to cooperate with the other, being protruded at the hip, and bent at the ham. But if the patient does not use the injured limb by applying it to the ground, but carries it up, and rests upon a staff, the sound leg thereby gains strength, for it is employed in its natural position, and further, the exercise gives it strength. But it may be said, these things are foreign to medicine; for what is the use of enlarging upon cases which are already past remedy? This is far from being the case, for it belongs to the knowledge of medicine to be acquainted also with these, and they cannot possibly be separated from one another; for to such as are curable, means are to be used to prevent them from becoming incurable, studying how they may best be prevented from getting into an incurable state. And incurable cases should be known, that they

p.258

may not be aggravated by useless applications, and splendid and creditable prognostics are made by knowing where, how, and when every case will terminate, and whether it will be converted into a curable or an incurable disease. When then, from birth, or during one’s youth, this dislocation backward occurs, and is not reduced, whether it be connected with violence or disease (for many such dislocations occur in diseases, but the nature of the diseases in which dislocations take place, will be described afterward); if, then, the dislocated limb be not reduced, the bone of the thigh becomes shortened, the whole limb is impaired, is arrested in its growth, and loses its flesh from want of use; the articulation at the ham is also impaired, for the nerves (ligaments?) become stretched, from cases formerly stated, wherefore those who have this dislocation, cannot make extension at the knee-joint. In a word, all parts of the body which were made for active use, if moderately used and exercised at the labor to which they are habituated, become healthy, increase in bulk, and bear their age well, but when not used, and when left without exercise, they become diseased, their growth is arrested, and they soon become old. Among these parts the joints and nerves (ligaments?), if not used, are not the least liable to be so affected; they are impaired, then, for the reasons we have stated, more in this variety of dislocation than in the others, for the whole limb is wasted, both in its bones and in its fleshy parts. Such persons, then, when they attain their full growth, keep the limb raised and flexed, rest the weight of the body on the other leg, and support themselves with a staff, some with one, and others with two.

In dislocations of the head of the thigh-bone forward (they are of rare occurrence), the patients cannot extend the leg completely, but least of all can they bend it at the groin; they are pained, also, if forced to bend the limb at the ham. The length of the leg, if compared at the heel, is the same as that of the other; but the extremity of the foot inclines less to project forward. But the whole limb has its natural direction, and inclines neither to this side nor to that. These cases are particularly attended with severe pain, and they are more apt to be accompanied with retention of urine at first than any of the other

p.259

dislocations; for the head of the thigh-bone is lodged very near to important nerves. And the region of the groin appears swelled out and stretched, while that of the nates is more wrinkled and flabby. The symptoms now stated are those which attend this dislocation of the thigh-bone.

When persons have attained their full growth before meeting with this dislocation, and when it has not been reduced, upon the subsidence of the pain, and when the bone of the joint has been accustomed to be rotated in the place where it is lodged, these persons can walk almost erect without a staff, and with the injured leg almost quite straight, as it does not admit of easy flexion at the groin and the ham; owing, then, to this want of flexion at the groin, they keep the limb more straight in walking than they do the sound one. And sometimes they drag the foot along the ground, as not being able to bend the upper part of the limb, and they walk with the whole foot on the ground; for in walking they rest no less on the heel than on the fore part of the foot; and if they could take great steps, they would rest entirely on the heel in walking; for persons whose limbs are sound, the greater the steps they take in walking, rest so much the more on the heel, while they are putting down the one foot and raising the opposite. In this form of dislocation, persons rest their weight more on the heel than on the anterior part of the foot, for the fore part of the foot cannot be bent forward equally well when the rest of the limb is extended as when it is in a state of flexion; neither, again, can the foot be arched to the same degree the limb is bent as when it is extended. The natural state of matters is such as has been now described; and in an unreduced dislocation, persons walk in the manner described, for the reasons which have been stated. The limb, moreover, is less fleshy than the other, at the nates, the calf of the leg, and the whole of its posterior part. When this dislocation occurs in infancy, and is not reduced, or when it is congenital, in these cases the bone of the thigh is more atrophied than those of the leg and foot; but the atrophy of the thigh-bone is least of all in this form of dislocation. The fleshy parts, however, are everywhere attenuated, more especially behind, as has been stated above. If properly trained,

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such persons, when they grow up, can use the limb, which is only a little shorter than the other, and yet they support themselves on a staff at the affected side. For, not being able to use properly the ball of the foot without the heel, nor to put it down as some can in the other varieties of dislocation (the cause of which has been just now stated), on this account they require a staff. But those who are neglected, and are not in the practice of putting their foot to the ground, but keep the limb up, have the bones more atrophied than those who use the limb; and, at the articulations, the limb is more maimed in the direct line than in the other forms of dislocation.

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the	101	w	2523
flesh	5	w	2528
he	118	w	2531
finds	1	w	2536
it	18	w	2538
necessary	1	w	2547
however	1	w	2555
to	19	w	2558
make	2	w	2562
strong	1	w	2568
flexion	1	w	2575
at	41	w	2577
the	102	w	2580
groin	5	w	2585
in	50	w	2587
walking	2	w	2594
for	6	w	2598
two	2	w	2601
reasons	2	w	2608
both	4	w	2613
because	4	w	2620
the	103	w	2623
limb	3	w	2627
for	7	w	2631
the	104	w	2634
causes	1	w	2640
already	2	w	2647
stated	2	w	2653
becomes	1	w	2661
much	4	w	2665
shorter	1	w	2672
and	24	w	2676
he	122	w	2678
is	26	w	2680
far	1	w	2683
from	6	w	2687
touching	1	w	2695
the	105	w	2698
ground	1	w	2704
with	7	w	2708
his	8	w	2711
heel	1	w	2715
and	25	w	2719
he	125	w	2721
can	7	w	2724
barely	1	w	2730
reach	1	w	2735
it	20	w	2737
with	8	w	2741
the	106	w	2744
ball	1	w	2748
of	30	w	2750
his	9	w	2753
foot	3	w	2757
and	26	w	2761
not	12	w	2764
even	2	w	2768
thus	1	w	2772
unless	3	w	2779
he	127	w	2781
bend	4	w	2785
himself	1	w	2792
at	43	w	2794
the	107	w	2797
groins	1	w	2803
and	27	w	2807
also	4	w	2811
bend	5	w	2815
with	9	w	2819
the	108	w	2822
other	4	w	2827
leg	5	w	2830
at	44	w	2832
the	110	w	2835
ham	5	w	2838
And	1	w	2842
in	54	w	2844
this	8	w	2848
case	3	w	2852
he	132	w	2855
is	30	w	2857
under	1	w	2862
the	111	w	2865
necessity	1	w	2874
of	31	w	2876
supporting	1	w	2886
the	112	w	2889
upper	1	w	2894
part	2	w	2898
of	32	w	2900
the	113	w	2903
thigh	3	w	2908
with	10	w	2912
his	11	w	2915
hand	2	w	2919
at	45	w	2921
each	2	w	2925
step	1	w	2929
this	9	w	2934
also	5	w	2938
contributes	1	w	2949
in	56	w	2952
a	220	w	2953
certain	1	w	2960
degree	1	w	2966
to	21	w	2969
make	3	w	2973
him	2	w	2976
bend	6	w	2980
the	114	w	2983
body	3	w	2987
at	46	w	2989
the	115	w	2992
groins	2	w	2998
for	8	w	3002
during	1	w	3009
the	116	w	3012
shifting	1	w	3020
of	33	w	3022
the	117	w	3025
feet	1	w	3029
in	61	w	3031
walking	3	w	3038
the	118	w	3042
body	4	w	3046
cannot	5	w	3052
be	24	w	3054
supported	1	w	3063
on	33	w	3065
the	119	w	3068
unsound	1	w	3075
be	25	w	3077
supported	2	w	3086
on	34	w	3088
the	120	w	3091
unsound	2	w	3098
limb	4	w	3102
unless	4	w	3109
it	25	w	3111
be	26	w	3113
pressed	1	w	3120
to	22	w	3122
the	121	w	3125
ground	2	w	3131
by	2	w	3133
the	122	w	3136
hand	3	w	3140
the	123	w	3145
end	11	w	3148
of	34	w	3150
the	124	w	3153
femur	4	w	3158
not	14	w	3161
being	2	w	3166
placed	1	w	3172
properly	1	w	3180
under	2	w	3185
the	125	w	3188
body	5	w	3192
but	8	w	3196
having	2	w	3202
slipped	3	w	3209
backward	3	w	3217
to	23	w	3219
the	126	w	3222
nates	5	w	3227
and	30	w	3231
if	8	w	3233
he	149	w	3235
should	2	w	3241
try	1	w	3244
to	24	w	3246
rest	3	w	3250
the	127	w	3253
weight	1	w	3259
of	35	w	3261
his	13	w	3264
body	6	w	3268
for	9	w	3271
a	233	w	3272
little	2	w	3278
upon	1	w	3283
the	128	w	3286
foot	4	w	3290
without	1	w	3298
any	5	w	3301
other	5	w	3306
support	4	w	3313
he	153	w	3316
would	1	w	3321
fall	1	w	3325
backward	4	w	3333
for	10	w	3337
there	2	w	3342
would	2	w	3347
be	28	w	3349
a	238	w	3350
great	2	w	3355
inclination	1	w	3366
in	67	w	3368
this	10	w	3372
direction	1	w	3381
from	7	w	3386
the	131	w	3389
hips	1	w	3393
having	3	w	3399
protruded	1	w	3408
backward	5	w	3416
far	2	w	3419
beyond	1	w	3425
the	132	w	3428
line	2	w	3432
of	36	w	3434
the	133	w	3437
foot	5	w	3441
and	31	w	3445
the	134	w	3448
spine	1	w	3453
inclining	1	w	3462
toward	2	w	3468
the	135	w	3471
hips	2	w	3475
Such	2	w	3480
persons	3	w	3487
can	9	w	3490
walk	5	w	3494
indeed	2	w	3501
without	2	w	3509
a	249	w	3510
staff	1	w	3515
if	9	w	3518
so	14	w	3520
accustomed	2	w	3530
for	11	w	3534
because	5	w	3541
the	136	w	3544
sole	1	w	3548
of	37	w	3550
the	137	w	3553
foot	6	w	3557
is	35	w	3559
in	75	w	3561
its	1	w	3564
old	1	w	3567
line	3	w	3571
and	32	w	3575
is	36	w	3577
not	15	w	3580
inclined	2	w	3588
outward	2	w	3595
they	13	w	3600
do	7	w	3602
not	16	w	3605
require	1	w	3612
anything	1	w	3620
to	27	w	3622
balance	1	w	3629
them	4	w	3633
Such	3	w	3638
however	2	w	3646
as	13	w	3649
instead	1	w	3657
of	38	w	3659
grasping	1	w	3667
the	140	w	3670
thigh	4	w	3675
prefer	1	w	3682
resting	1	w	3689
their	6	w	3694
weight	2	w	3700
upon	2	w	3704
a	261	w	3705
staff	2	w	3710
introduced	1	w	3720
into	2	w	3724
the	142	w	3727
armpit	1	w	3733
of	39	w	3735
the	143	w	3738
affected	2	w	3746
side	6	w	3750
these	2	w	3756
if	10	w	3759
they	14	w	3763
use	8	w	3766
a	265	w	3767
longer	1	w	3773
staff	3	w	3778
will	2	w	3783
walk	6	w	3787
indeed	3	w	3794
more	4	w	3799
erect	1	w	3804
but	9	w	3808
will	3	w	3812
not	17	w	3815
be	31	w	3817
able	2	w	3821
to	29	w	3823
reach	2	w	3828
the	146	w	3831
ground	3	w	3837
with	13	w	3841
the	147	w	3844
foot	7	w	3848
or	28	w	3851
if	11	w	3853
they	15	w	3857
wish	1	w	3861
to	30	w	3863
rest	5	w	3867
upon	3	w	3871
the	149	w	3874
foot	8	w	3878
they	16	w	3883
must	1	w	3887
take	1	w	3891
a	271	w	3892
shorter	2	w	3899
staff	4	w	3904
and	33	w	3908
will	4	w	3912
require	2	w	3919
to	31	w	3921
bend	7	w	3925
the	151	w	3928
body	7	w	3932
at	50	w	3934
the	152	w	3937
groins	3	w	3943
The	4	w	3947
wasting	1	w	3954
of	40	w	3956
the	153	w	3959
fleshy	3	w	3965
parts	2	w	3970
is	38	w	3972
analogous	1	w	3981
to	32	w	3983
what	1	w	3987
happens	1	w	3994
in	88	w	3996
the	154	w	3999
cases	1	w	4004
formerly	1	w	4012
described	1	w	4021
for	13	w	4025
the	155	w	4028
wasting	2	w	4035
is	39	w	4037
greatest	1	w	4045
in	90	w	4047
those	1	w	4052
cases	2	w	4057
in	91	w	4059
which	4	w	4064
the	156	w	4067
patients	2	w	4075
keep	1	w	4079
the	157	w	4082
limb	5	w	4086
up	10	w	4088
and	34	w	4092
do	8	w	4094
not	18	w	4097
exercise	1	w	4105
it	32	w	4107
whilst	1	w	4114
those	2	w	4119
who	3	w	4122
practice	1	w	4130
walking	4	w	4137
have	5	w	4142
the	158	w	4145
least	2	w	4150
atrophy	1	w	4157
The	5	w	4161
sound	3	w	4166
leg	6	w	4169
however	3	w	4177
is	41	w	4180
not	19	w	4183
benefited	1	w	4192
but	10	w	4196
is	42	w	4198
rather	1	w	4204
rendered	1	w	4212
more	5	w	4216
deformed	1	w	4224
if	12	w	4227
the	160	w	4230
injured	1	w	4237
limb	6	w	4241
be	35	w	4243
applied	1	w	4250
to	33	w	4252
the	161	w	4255
ground	4	w	4261
for	15	w	4265
it	34	w	4267
is	43	w	4269
forced	1	w	4275
to	34	w	4277
cooperate	1	w	4286
with	14	w	4290
the	162	w	4293
other	6	w	4298
being	3	w	4304
protruded	2	w	4313
at	57	w	4315
the	164	w	4318
hip	4	w	4321
and	35	w	4325
bent	2	w	4329
at	58	w	4331
the	165	w	4334
ham	6	w	4337
But	5	w	4341
if	13	w	4343
the	166	w	4346
patient	4	w	4353
does	1	w	4357
not	20	w	4360
use	9	w	4363
the	167	w	4366
injured	2	w	4373
limb	7	w	4377
by	3	w	4379
applying	1	w	4387
it	36	w	4389
to	35	w	4391
the	168	w	4394
ground	5	w	4400
but	11	w	4404
carries	1	w	4411
it	37	w	4413
up	11	w	4415
and	36	w	4419
rests	1	w	4424
upon	4	w	4428
a	303	w	4429
staff	5	w	4434
the	169	w	4438
sound	4	w	4443
leg	7	w	4446
thereby	1	w	4453
gains	1	w	4458
strength	2	w	4466
for	17	w	4470
it	38	w	4472
is	44	w	4474
employed	1	w	4482
in	98	w	4484
its	2	w	4487
natural	3	w	4494
position	2	w	4502
and	37	w	4506
further	1	w	4513
the	172	w	4517
exercise	2	w	4525
gives	1	w	4530
it	41	w	4532
strength	3	w	4540
But	6	w	4544
it	42	w	4546
may	2	w	4549
be	38	w	4551
said	1	w	4555
these	3	w	4561
things	3	w	4567
are	11	w	4570
foreign	1	w	4577
to	36	w	4579
medicine	1	w	4587
for	19	w	4591
what	2	w	4595
is	46	w	4597
the	174	w	4600
use	10	w	4603
of	41	w	4605
enlarging	1	w	4614
upon	5	w	4618
cases	3	w	4623
which	5	w	4628
are	12	w	4631
already	3	w	4638
past	1	w	4642
remedy	1	w	4648
This	1	w	4653
is	48	w	4655
far	3	w	4658
from	8	w	4662
being	4	w	4667
the	175	w	4670
case	7	w	4674
for	20	w	4678
it	43	w	4680
belongs	1	w	4687
to	37	w	4689
the	176	w	4692
knowledge	2	w	4701
of	42	w	4703
medicine	2	w	4711
to	38	w	4713
be	41	w	4715
acquainted	1	w	4725
also	6	w	4729
with	15	w	4733
these	4	w	4738
and	38	w	4742
they	17	w	4746
cannot	6	w	4752
possibly	1	w	4760
be	42	w	4762
separated	1	w	4771
from	9	w	4775
one	8	w	4778
another	1	w	4785
for	21	w	4789
to	39	w	4791
such	1	w	4795
as	23	w	4797
are	13	w	4800
curable	1	w	4807
means	1	w	4813
are	14	w	4816
to	40	w	4818
be	43	w	4820
used	1	w	4824
to	41	w	4826
prevent	2	w	4833
them	5	w	4837
from	10	w	4841
becoming	1	w	4849
incurable	1	w	4858
studying	1	w	4867
how	4	w	4870
they	18	w	4874
may	3	w	4877
best	1	w	4881
be	46	w	4883
prevented	2	w	4892
from	11	w	4896
getting	1	w	4903
into	3	w	4907
an	65	w	4909
incurable	2	w	4918
state	3	w	4923
And	2	w	4927
incurable	3	w	4936
cases	4	w	4941
should	3	w	4947
be	47	w	4949
known	3	w	4954
that	5	w	4959
they	19	w	4963
may	4	w	4966
not	23	w	4969
be	48	w	4971
aggravated	1	w	4981
by	5	w	4983
useless	1	w	4990
applications	1	w	5002
and	39	w	5006
splendid	1	w	5014
and	40	w	5017
creditable	1	w	5027
prognostics	1	w	5038
are	15	w	5041
made	1	w	5045
by	6	w	5047
knowing	1	w	5054
where	2	w	5059
how	5	w	5063
and	41	w	5067
when	4	w	5071
every	1	w	5076
case	9	w	5080
will	5	w	5084
terminate	1	w	5093
and	42	w	5097
whether	1	w	5104
it	46	w	5106
will	6	w	5110
be	49	w	5112
converted	1	w	5121
into	4	w	5125
a	357	w	5126
curable	5	w	5133
or	41	w	5135
an	70	w	5137
incurable	4	w	5146
disease	2	w	5153
When	2	w	5158
then	2	w	5162
from	12	w	5167
birth	2	w	5172
or	42	w	5175
during	2	w	5181
one	9	w	5184
s	281	w	5186
youth	1	w	5191
this	11	w	5196
dislocation	7	w	5207
backward	6	w	5215
occurs	2	w	5221
and	43	w	5225
is	52	w	5227
not	24	w	5230
reduced	2	w	5237
whether	2	w	5245
it	47	w	5247
be	50	w	5249
connected	1	w	5258
with	16	w	5262
violence	1	w	5270
or	43	w	5272
disease	3	w	5279
for	22	w	5283
many	3	w	5287
such	2	w	5291
dislocations	4	w	5303
occur	4	w	5308
in	117	w	5310
diseases	1	w	5318
but	12	w	5322
the	186	w	5325
nature	2	w	5331
of	43	w	5333
the	187	w	5336
diseases	2	w	5344
in	118	w	5346
which	6	w	5351
dislocations	5	w	5363
take	2	w	5367
place	4	w	5372
will	7	w	5377
be	51	w	5379
described	2	w	5388
afterward	1	w	5397
if	14	w	5401
then	3	w	5406
the	189	w	5410
dislocated	2	w	5420
limb	8	w	5424
be	53	w	5426
not	25	w	5429
reduced	3	w	5436
the	190	w	5440
bone	7	w	5444
of	44	w	5446
the	191	w	5449
thigh	5	w	5454
becomes	2	w	5461
shortened	2	w	5470
the	192	w	5474
whole	2	w	5479
limb	9	w	5483
is	59	w	5485
impaired	1	w	5493
is	60	w	5496
arrested	2	w	5504
in	119	w	5506
its	3	w	5509
growth	2	w	5515
and	44	w	5519
loses	1	w	5524
its	4	w	5527
flesh	7	w	5532
from	13	w	5536
want	1	w	5540
of	45	w	5542
use	13	w	5545
the	193	w	5549
articulation	1	w	5561
at	74	w	5563
the	194	w	5566
ham	7	w	5569
is	61	w	5571
also	7	w	5575
impaired	2	w	5583
for	23	w	5587
the	195	w	5590
nerves	2	w	5596
ligaments	2	w	5606
become	6	w	5614
stretched	1	w	5623
from	14	w	5628
cases	5	w	5633
formerly	2	w	5641
stated	3	w	5647
wherefore	1	w	5657
those	3	w	5662
who	5	w	5665
have	6	w	5669
this	12	w	5673
dislocation	10	w	5684
cannot	7	w	5691
make	4	w	5695
extension	3	w	5704
at	77	w	5706
the	196	w	5709
knee-joint	1	w	5719
In	2	w	5722
a	396	w	5723
word	1	w	5727
all	8	w	5731
parts	3	w	5736
of	46	w	5738
the	197	w	5741
body	8	w	5745
which	7	w	5750
were	1	w	5754
made	2	w	5758
for	26	w	5761
active	1	w	5767
use	14	w	5770
if	15	w	5773
moderately	1	w	5783
used	2	w	5787
and	45	w	5790
exercised	1	w	5799
at	79	w	5801
the	198	w	5804
labor	1	w	5809
to	44	w	5811
which	8	w	5816
they	20	w	5820
are	16	w	5823
habituated	1	w	5833
become	7	w	5840
healthy	2	w	5847
increase	1	w	5856
in	122	w	5858
bulk	1	w	5862
and	46	w	5866
bear	1	w	5870
their	7	w	5875
age	1	w	5878
well	1	w	5882
but	13	w	5886
when	5	w	5890
not	27	w	5893
used	3	w	5897
and	47	w	5901
when	6	w	5905
left	1	w	5909
without	3	w	5916
exercise	4	w	5924
they	21	w	5929
become	8	w	5935
diseased	1	w	5943
their	8	w	5949
growth	3	w	5955
is	67	w	5957
arrested	3	w	5965
and	48	w	5969
they	22	w	5973
soon	1	w	5977
become	9	w	5983
old	2	w	5986
Among	1	w	5992
these	5	w	5997
parts	4	w	6002
the	205	w	6005
joints	1	w	6011
and	49	w	6014
nerves	3	w	6020
ligaments	3	w	6030
if	16	w	6035
not	28	w	6038
used	4	w	6042
are	17	w	6046
not	29	w	6049
the	206	w	6052
least	3	w	6057
liable	1	w	6063
to	45	w	6065
be	60	w	6067
so	21	w	6069
affected	3	w	6077
they	23	w	6082
are	18	w	6085
impaired	3	w	6093
then	4	w	6098
for	27	w	6102
the	209	w	6105
reasons	3	w	6112
we	9	w	6114
have	7	w	6118
stated	4	w	6124
more	6	w	6129
in	124	w	6131
this	13	w	6135
variety	2	w	6142
of	47	w	6144
dislocation	11	w	6155
than	3	w	6159
in	125	w	6161
the	210	w	6164
others	1	w	6170
for	28	w	6174
the	212	w	6177
whole	3	w	6182
limb	10	w	6186
is	70	w	6188
wasted	1	w	6194
both	5	w	6199
in	126	w	6201
its	5	w	6204
bones	4	w	6209
and	50	w	6212
in	127	w	6214
its	6	w	6217
fleshy	4	w	6223
parts	5	w	6228
Such	4	w	6233
persons	4	w	6240
then	5	w	6245
when	7	w	6250
they	24	w	6254
attain	1	w	6260
their	9	w	6265
full	1	w	6269
growth	4	w	6275
keep	2	w	6280
the	216	w	6283
limb	11	w	6287
raised	1	w	6293
and	51	w	6296
flexed	1	w	6302
rest	9	w	6307
the	217	w	6310
weight	3	w	6316
of	48	w	6318
the	218	w	6321
body	9	w	6325
on	65	w	6327
the	219	w	6330
other	9	w	6335
leg	8	w	6338
and	52	w	6342
support	5	w	6349
themselves	1	w	6359
with	18	w	6363
a	440	w	6364
staff	6	w	6369
some	2	w	6374
with	19	w	6378
one	12	w	6381
and	53	w	6385
others	2	w	6391
with	20	w	6395
two	3	w	6398
In	3	w	6401
dislocations	6	w	6413
of	49	w	6415
the	223	w	6418
head	5	w	6422
of	50	w	6424
the	224	w	6427
thigh-bone	1	w	6437
forward	1	w	6444
they	25	w	6449
are	19	w	6452
of	51	w	6454
rare	2	w	6458
occurrence	1	w	6468
the	226	w	6473
patients	3	w	6481
cannot	8	w	6487
extend	5	w	6493
the	227	w	6496
leg	9	w	6499
completely	1	w	6509
but	14	w	6513
least	4	w	6518
of	52	w	6520
all	9	w	6523
can	13	w	6526
they	26	w	6530
bend	8	w	6534
it	58	w	6536
at	86	w	6538
the	229	w	6541
groin	9	w	6546
they	27	w	6551
are	21	w	6554
pained	1	w	6560
also	8	w	6565
if	17	w	6568
forced	2	w	6574
to	46	w	6576
bend	9	w	6580
the	231	w	6583
limb	12	w	6587
at	87	w	6589
the	232	w	6592
ham	8	w	6595
The	6	w	6599
length	1	w	6605
of	53	w	6607
the	233	w	6610
leg	10	w	6613
if	18	w	6616
compared	1	w	6624
at	88	w	6626
the	234	w	6629
heel	2	w	6633
is	73	w	6636
the	235	w	6639
same	3	w	6643
as	37	w	6645
that	6	w	6649
of	54	w	6651
the	236	w	6654
other	11	w	6659
but	15	w	6663
the	238	w	6666
extremity	1	w	6675
of	55	w	6677
the	239	w	6680
foot	9	w	6684
inclines	1	w	6692
less	7	w	6696
to	47	w	6698
project	1	w	6705
forward	2	w	6712
But	7	w	6716
the	240	w	6719
whole	4	w	6724
limb	13	w	6728
has	5	w	6731
its	7	w	6734
natural	4	w	6741
direction	2	w	6750
and	54	w	6754
inclines	2	w	6762
neither	2	w	6769
to	48	w	6771
this	14	w	6775
side	7	w	6779
nor	2	w	6782
to	49	w	6784
that	7	w	6788
These	1	w	6794
cases	6	w	6799
are	23	w	6802
particularly	1	w	6814
attended	1	w	6822
with	21	w	6826
severe	1	w	6832
pain	4	w	6836
and	55	w	6840
they	28	w	6844
are	24	w	6847
more	7	w	6851
apt	1	w	6854
to	50	w	6856
be	63	w	6858
accompanied	1	w	6869
with	22	w	6873
retention	1	w	6882
of	56	w	6884
urine	1	w	6889
at	93	w	6891
first	2	w	6896
than	4	w	6900
any	8	w	6903
of	57	w	6905
the	243	w	6908
other	12	w	6913
dislocations	7	w	6925
for	32	w	6929
the	245	w	6932
head	6	w	6936
of	58	w	6938
the	246	w	6941
thigh-bone	2	w	6951
is	76	w	6953
lodged	1	w	6959
very	4	w	6963
near	1	w	6967
to	51	w	6969
important	1	w	6978
nerves	4	w	6984
And	3	w	6988
the	247	w	6991
region	1	w	6997
of	59	w	6999
the	248	w	7002
groin	10	w	7007
appears	3	w	7014
swelled	1	w	7021
out	8	w	7024
and	56	w	7027
stretched	2	w	7036
while	1	w	7042
that	8	w	7046
of	60	w	7048
the	249	w	7051
nates	6	w	7056
is	77	w	7058
more	8	w	7062
wrinkled	1	w	7070
and	57	w	7073
flabby	1	w	7079
The	8	w	7083
symptoms	2	w	7091
now	7	w	7094
stated	5	w	7100
are	25	w	7103
those	4	w	7108
which	9	w	7113
attend	2	w	7119
this	15	w	7123
dislocation	14	w	7134
of	61	w	7136
the	250	w	7139
thigh-bone	3	w	7149
When	3	w	7154
persons	5	w	7161
have	8	w	7165
attained	1	w	7173
their	10	w	7178
full	2	w	7182
growth	5	w	7188
before	1	w	7194
meeting	1	w	7201
with	23	w	7205
this	16	w	7209
dislocation	15	w	7220
and	58	w	7224
when	8	w	7228
it	65	w	7230
has	6	w	7233
not	31	w	7236
been	3	w	7240
reduced	4	w	7247
upon	6	w	7252
the	252	w	7255
subsidence	1	w	7265
of	62	w	7267
the	253	w	7270
pain	5	w	7274
and	59	w	7278
when	9	w	7282
the	254	w	7285
bone	12	w	7289
of	63	w	7291
the	255	w	7294
joint	11	w	7299
has	7	w	7302
been	4	w	7306
accustomed	3	w	7316
to	54	w	7318
be	67	w	7320
rotated	1	w	7327
in	143	w	7329
the	256	w	7332
place	5	w	7337
where	4	w	7342
it	66	w	7344
is	82	w	7346
lodged	2	w	7352
these	6	w	7358
persons	6	w	7365
can	14	w	7368
walk	8	w	7372
almost	1	w	7378
erect	2	w	7383
without	4	w	7390
a	514	w	7391
staff	7	w	7396
and	60	w	7400
with	25	w	7404
the	258	w	7407
injured	3	w	7414
leg	11	w	7417
almost	2	w	7423
quite	1	w	7428
straight	2	w	7436
as	42	w	7439
it	70	w	7441
does	2	w	7445
not	32	w	7448
admit	1	w	7453
of	64	w	7455
easy	1	w	7459
flexion	2	w	7466
at	103	w	7468
the	259	w	7471
groin	11	w	7476
and	61	w	7479
the	260	w	7482
ham	9	w	7485
owing	2	w	7491
then	6	w	7496
to	55	w	7499
this	17	w	7503
want	2	w	7507
of	65	w	7509
flexion	3	w	7516
at	104	w	7518
the	262	w	7521
groin	12	w	7526
they	29	w	7531
keep	3	w	7535
the	264	w	7538
limb	14	w	7542
more	9	w	7546
straight	3	w	7554
in	148	w	7556
walking	5	w	7563
than	5	w	7567
they	30	w	7571
do	11	w	7573
the	266	w	7576
sound	5	w	7581
one	17	w	7584
And	4	w	7588
sometimes	1	w	7597
they	31	w	7601
drag	1	w	7605
the	268	w	7608
foot	10	w	7612
along	1	w	7617
the	269	w	7620
ground	6	w	7626
as	44	w	7629
not	33	w	7632
being	5	w	7637
able	11	w	7641
to	56	w	7643
bend	10	w	7647
the	270	w	7650
upper	2	w	7655
part	8	w	7659
of	66	w	7661
the	271	w	7664
limb	15	w	7668
and	62	w	7672
they	32	w	7676
walk	10	w	7680
with	26	w	7684
the	273	w	7687
whole	5	w	7692
foot	11	w	7696
on	85	w	7698
the	274	w	7701
ground	7	w	7707
for	34	w	7711
in	151	w	7713
walking	6	w	7720
they	33	w	7724
rest	10	w	7728
no	44	w	7730
less	8	w	7734
on	86	w	7736
the	276	w	7739
heel	3	w	7743
than	6	w	7747
on	87	w	7749
the	277	w	7752
fore	4	w	7756
part	9	w	7760
of	67	w	7762
the	278	w	7765
foot	12	w	7769
and	63	w	7773
if	19	w	7775
they	34	w	7779
could	3	w	7784
take	3	w	7788
great	4	w	7793
steps	1	w	7798
they	35	w	7803
would	3	w	7808
rest	11	w	7812
entirely	1	w	7820
on	88	w	7822
the	281	w	7825
heel	4	w	7829
in	153	w	7831
walking	7	w	7838
for	36	w	7842
persons	7	w	7849
whose	1	w	7854
limbs	1	w	7859
are	26	w	7862
sound	6	w	7867
the	282	w	7871
greater	2	w	7878
the	283	w	7881
steps	2	w	7886
they	36	w	7890
take	4	w	7894
in	155	w	7896
walking	8	w	7903
rest	12	w	7908
so	32	w	7910
much	5	w	7914
the	285	w	7917
more	10	w	7921
on	90	w	7923
the	286	w	7926
heel	5	w	7930
while	2	w	7936
they	37	w	7940
are	27	w	7943
putting	1	w	7950
down	2	w	7954
the	288	w	7957
one	18	w	7960
foot	13	w	7964
and	64	w	7967
raising	1	w	7974
the	289	w	7977
opposite	1	w	7985
In	4	w	7988
this	18	w	7992
form	4	w	7996
of	68	w	7998
dislocation	16	w	8009
persons	8	w	8017
rest	13	w	8021
their	11	w	8026
weight	4	w	8032
more	11	w	8036
on	94	w	8038
the	291	w	8041
heel	6	w	8045
than	7	w	8049
on	95	w	8051
the	292	w	8054
anterior	1	w	8062
part	10	w	8066
of	69	w	8068
the	293	w	8071
foot	14	w	8075
for	38	w	8079
the	294	w	8082
fore	5	w	8086
part	11	w	8090
of	70	w	8092
the	295	w	8095
foot	15	w	8099
cannot	9	w	8105
be	70	w	8107
bent	3	w	8111
forward	3	w	8118
equally	2	w	8125
well	3	w	8129
when	10	w	8133
the	296	w	8136
rest	14	w	8140
of	71	w	8142
the	297	w	8145
limb	17	w	8149
is	87	w	8151
extended	2	w	8159
as	45	w	8161
when	11	w	8165
it	74	w	8167
is	88	w	8169
in	159	w	8171
a	560	w	8172
state	7	w	8177
of	72	w	8179
flexion	4	w	8186
neither	3	w	8194
again	1	w	8200
can	16	w	8204
the	299	w	8207
foot	16	w	8211
be	72	w	8213
arched	1	w	8219
to	57	w	8221
the	300	w	8224
same	4	w	8228
degree	2	w	8234
the	301	w	8237
limb	18	w	8241
is	89	w	8243
bent	4	w	8247
as	46	w	8249
when	12	w	8253
it	76	w	8255
is	90	w	8257
extended	3	w	8265
The	9	w	8269
natural	5	w	8276
state	8	w	8281
of	73	w	8283
matters	1	w	8290
is	91	w	8292
such	3	w	8296
as	47	w	8298
has	8	w	8301
been	5	w	8305
now	8	w	8308
described	3	w	8317
and	65	w	8321
in	161	w	8323
an	112	w	8325
unreduced	1	w	8334
dislocation	17	w	8345
persons	9	w	8353
walk	14	w	8357
in	162	w	8359
the	302	w	8362
manner	2	w	8368
described	4	w	8377
for	41	w	8381
the	303	w	8384
reasons	4	w	8391
which	10	w	8396
have	9	w	8400
been	6	w	8404
stated	6	w	8410
The	10	w	8414
limb	19	w	8418
moreover	2	w	8427
is	93	w	8430
less	9	w	8434
fleshy	5	w	8440
than	8	w	8444
the	304	w	8447
other	13	w	8452
at	114	w	8455
the	306	w	8458
nates	7	w	8463
the	307	w	8467
calf	1	w	8471
of	74	w	8473
the	308	w	8476
leg	12	w	8479
and	66	w	8483
the	309	w	8486
whole	6	w	8491
of	75	w	8493
its	8	w	8496
posterior	1	w	8505
part	12	w	8509
When	4	w	8514
this	19	w	8518
dislocation	18	w	8529
occurs	3	w	8535
in	163	w	8537
infancy	1	w	8544
and	67	w	8548
is	96	w	8550
not	35	w	8553
reduced	6	w	8560
or	79	w	8563
when	13	w	8567
it	78	w	8569
is	97	w	8571
congenital	1	w	8581
in	165	w	8584
these	7	w	8589
cases	7	w	8594
the	311	w	8597
bone	13	w	8601
of	76	w	8603
the	312	w	8606
thigh	9	w	8611
is	98	w	8613
more	13	w	8617
atrophied	1	w	8626
than	9	w	8630
those	5	w	8635
of	77	w	8637
the	313	w	8640
leg	13	w	8643
and	68	w	8646
foot	17	w	8650
but	16	w	8654
the	314	w	8657
atrophy	2	w	8664
of	78	w	8666
the	315	w	8669
thigh-bone	4	w	8679
is	99	w	8681
least	5	w	8686
of	79	w	8688
all	11	w	8691
in	166	w	8693
this	20	w	8697
form	5	w	8701
of	80	w	8703
dislocation	19	w	8714
The	11	w	8718
fleshy	6	w	8724
parts	6	w	8729
however	4	w	8737
are	28	w	8741
everywhere	1	w	8751
attenuated	1	w	8761
more	14	w	8766
especially	1	w	8776
behind	1	w	8782
as	52	w	8785
has	9	w	8788
been	7	w	8792
stated	7	w	8798
above	2	w	8803
If	1	w	8806
properly	2	w	8814
trained	1	w	8821
such	4	w	8826
persons	10	w	8833
when	14	w	8838
they	38	w	8842
grow	6	w	8846
up	17	w	8848
can	17	w	8852
use	18	w	8855
the	317	w	8858
limb	20	w	8862
which	11	w	8868
is	102	w	8870
only	1	w	8874
a	611	w	8875
little	3	w	8881
shorter	3	w	8888
than	10	w	8892
the	318	w	8895
other	14	w	8900
and	69	w	8904
yet	4	w	8907
they	39	w	8911
support	6	w	8918
themselves	2	w	8928
on	107	w	8930
a	614	w	8931
staff	8	w	8936
at	123	w	8938
the	322	w	8941
affected	4	w	8949
side	9	w	8953
For	1	w	8957
not	36	w	8961
being	6	w	8966
able	12	w	8970
to	58	w	8972
use	19	w	8975
properly	3	w	8983
the	323	w	8986
ball	2	w	8990
of	81	w	8992
the	324	w	8995
foot	18	w	8999
without	5	w	9006
the	325	w	9009
heel	7	w	9013
nor	3	w	9017
to	59	w	9019
put	2	w	9022
it	82	w	9024
down	3	w	9028
as	54	w	9030
some	4	w	9034
can	18	w	9037
in	170	w	9039
the	326	w	9042
other	15	w	9047
varieties	1	w	9056
of	82	w	9058
dislocation	20	w	9069
the	328	w	9073
cause	7	w	9078
of	83	w	9080
which	12	w	9085
has	10	w	9088
been	8	w	9092
just	1	w	9096
now	9	w	9099
stated	8	w	9105
on	109	w	9109
this	21	w	9113
account	1	w	9120
they	40	w	9124
require	3	w	9131
a	628	w	9132
staff	9	w	9137
But	8	w	9141
those	6	w	9146
who	11	w	9149
are	29	w	9152
neglected	1	w	9161
and	70	w	9165
are	30	w	9168
not	37	w	9171
in	171	w	9173
the	330	w	9176
practice	2	w	9184
of	84	w	9186
putting	2	w	9193
their	12	w	9198
foot	19	w	9202
to	60	w	9204
the	332	w	9207
ground	8	w	9213
but	17	w	9217
keep	4	w	9221
the	333	w	9224
limb	21	w	9228
up	19	w	9230
have	10	w	9235
the	334	w	9238
bones	5	w	9243
more	15	w	9247
atrophied	2	w	9256
than	11	w	9260
those	7	w	9265
who	12	w	9268
use	21	w	9271
the	335	w	9274
limb	22	w	9278
and	71	w	9282
at	127	w	9285
the	336	w	9288
articulations	1	w	9301
the	337	w	9305
limb	23	w	9309
is	105	w	9311
more	16	w	9315
maimed	1	w	9321
in	173	w	9323
the	338	w	9326
direct	3	w	9332
line	7	w	9336
than	12	w	9340
in	175	w	9342
the	339	w	9345
other	16	w	9350
forms	1	w	9355
of	85	w	9357
dislocation	21	w	9368