Part 21
The symptoms and attitudes in dislocation outward are the opposite,
and the knee and foot incline a little inward. When it is congenital,
or occurs during adolescence, the bones do not grow properly; according
to the same rule, the bone of the hip-joint is somewhat higher than
natural, and does not grow proportionally. In those who have frequent
dislocations outward,
[p. 287]without inflammation, the limb is of a more
humid (flabby?) temperament than natural, like the thumb, for it is
the part most frequently dislocated, owing to its configuration; in
what persons the dislocation is to a greater or less extent; and in
what persons it is more difficultly or easily produced; in what there
is reason to hope that it can be speedily reduced, and in what not;
and the remedy for this; and in what cases the dislocation frequently
happens, and treatment of this. In dislocation outward from birth,
or during adolescence, or from disease, (and it happens most frequently
from disease, in which case there is sometimes exfoliation of the
bone, but even where there is no exfoliation), the patients experience
the same symptoms, but to an inferior degree to those in dislocations
inward, if properly managed so that in walking they can put the whole
foot to the ground and lean to either side. The younger the patient
is, the greater care should be bestowed on him; when neglected, the
case gets worse; when attended to, it improves; and, although there
be atrophy in all parts of the limb, it is to a less extent.