THE PREVENTION OF DEFORMITIES IN CHRONIC ARTHRITIS

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Abstract
Deformities occurring in the lower extremity are important because they hinder or prevent walking. So far as they modify the patient's outlook and disturb his mental well being, they are probably more important than deformities in other parts of the body. The idea of crippling is peculiarly associated with disturbances in locomotion. The sense of difference from others and of handicap which such deformity brings is the most important cause of the psychopathic tendencies of the cripple.1 THE HIP The hip joint, subjected mechanically from its location to many strains and minor traumas, is often affected in arthritis. In arthritis of the spine, particularly in the rapidly advancing type described by Strümpell and by Marie,2an associated involvement of the hips is common. Moreover, during the course of an arthritic process in any other part of the body, a hip joint may be attacked by the disease. Deformities

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