Hip

“ There the bone of the hip-joint is carried backward to the nates, and on that account it is shortened, and because the patient cannot extend it. The flesh of the whole leg is wasted in all cases, in which most, and to what extent, has been already stated. ”

“ In considering the relative size of each portion of the limbs—if, in the walk, there be a greater or less approach to the marching pace, the hip is large; for we naturally employ the joint which is surrounded with the most powerful muscles, and in any approach to the march, it is the hip-joint which is used, and the knee and ancle-joints which remain proportionally unemployed. ”

“ There’s a place there where they’ve got a perfectly wonderful new hip band.”
“A hip band?”
“Yes, Bill, H.I.P. hip, B.A.N.D. band. A band to confine the hips. You wear it next the skin.”
“I blush for you, Virginia. You shouldn’t describe your underwear to a young man to whom you are not related. It isn’t delicate.”
“But, Bill dear, there’s nothing indelicate about hips. We’ve all got hips—although we poor women are trying awfully hard to pretend we haven’t. This hip band is made of red rubber and comes just to above the knee, and it’s simply impossible to walk in it.” ”

“ The broad, unboned hip space provides for prominent hip bones. The Spirella Boning on each side of centre back, together with the elastic sections, holds the garment closely to the body in all positions with a smooth, pleasing back line. ”

“ Watch out for your hips. The too-light corset is a hip builder, you know. Perhaps you relax more now and don’t exercise so much—that is, hip reducing exercise that you indulged in ten years ago. Take a good look at yourself in the glass. If your hips spread, it is time to change corsets. ”

“ This is well seen in adults who have suffered from severe disease of the hip in childhood—the entire limb, including the foot, being shorter and smaller than the corresponding parts of the opposite side. ”

“ The os innominatum.—Fracture of the ilium may be observed either at the angle of the hip or at the neck of the bone; those of the pubes may take place at the symphysis, or in the body of the bone; those of the ischium on the floor of the bone, or at its posterior external angle. Or, again, the fracture may involve all three of these constituent parts of the hip bone by having its situation in the articular cavity—the acetabulum by which it joins the femur or thigh bone. ”

“ The ligament is so strong that it hardly ever ruptures in a dislocation of the hip. As a plumb-line, dropped from the centre of gravity of the body, passes behind the centre of the hip joint, this ligament, lying as it does in front of the joint, takes the strain in Man’s erect position. The other two thickened parts of the capsule are known as pubo-femoral and ischio-femoral, from their attachments. ”

“ The other bones of the human body sometimes undergo subluxation, and sometimes complete luxation, but the articulations at the hip and the shoulder are subject only to complete luxation, more especially the hip-joint, because it has a deep and round cavity which is further strengthened by a strong brim. The limb, then, being subject to displacement from its cavity by some great violence, many differences arise according to the greater or less degree of the dislocation. ”

“ They poise the body by means of a staff on the sound side, and grasp the affected limb with the hand above the knee so as to carry the body in shifting from one place to another. If the parts below the hip-joint be used, the bones below are less atrophied, but the flesh more. ”

“ All our joints are not hinge-joints.
Your shoulder has a joint that lets your [11] arm swing round and round, as well as move up and down.
Your hip has another that lets your leg move in much the same way.
The hip-joint.
This kind of joint is the round end or ball of a long bone, which moves in a hole, called a socket.
Your joints do not creak or get out of order, as those of doors and gates sometimes do. A soft, smooth fluid, much like the white of an egg, keeps them moist and makes them work easily. [12]
BONES.
What parts of our bodies are jointed together so nicely? Our bones. ”

“ But the injured limb, in this case, can support the body much better than in dislocation inward, both because the head of the femur and the neck of its articular extremity, being naturally oblique, have formed a bed under a considerable portion of the hip, and because the extremity of the foot is not forcibly turned outward, but is nearly in a line with the body, and is even inclined more inwardly. ”

“ Not less stealthy is the approach of disease of the hip-joint, of white swelling of the knee, of consumption,—all curable if taken in hand at the very first, all well-nigh hopeless when they have once unmasked their real features. ”

“ But when we have to rely upon one sense alone, we are sometimes liable to curious deceptions. This is the case with some of the feelings of touch. In hip-joint disease the pain is often referred to the knee, while it is really in the hip. This is because the nerve which conveys sensation from the knee, also sends a branch to the hip-joint. The experiences of those who have lost a limb are familiar. ”

“ In disease of the hip-joint pain is felt, not in the hip, but, in the early stage of the disease, at the knee. This also depends on nervous communication. The most dreadful consequences daily occur from an ignorance of this single fact. ”

“ The smaller hip development requires the selec-
tion of a larger waist size. While style 223 has wide adaptability
to normal 20-type, it is especially adapted to the correction of
kangaroo poise and cut-in waist when found in this type. The com-
pression afforded by the lacing over the back of the hips combined
with the small hip development of the corset and the length of
clasp below results in a correction of the slant of the pelvic girdle,
tilting it downward in the back and upward in the front. ”

“ Sometimes the pain is confined to the knee, and if the examination is restricted to that joint the disease at the hip may be overlooked. At this stage the attitude of the limb is not constant; at one time it may be natural, and at another slightly flexed and abducted. Tenderness of the joint may be elicited by pressing either in front or behind the head of the bone, but is of little diagnostic importance. ”

“ If it happen, on account of the motion of the figure, that the right hip be higher than the left, make the joint of the shoulder fall perpendicularly on the highest part of that hip; and let that right shoulder be lower than the left. The pit of the neck will always be perpendicular over the middle of the instep of the foot that supports the body. The leg that does not bear will have its knee a little lower than the other, and near the other leg. ”

“ The hip girdle or pelvis is rigid, suiting it to bear the strains that come upon it on account of its position at the junction of the legs with the trunk. At the outer side of each innominate bone is a cup, much deeper than the corresponding cup of the shoulder girdle, and into this fits the head of the skeleton of the leg. The arrangement is a typical ball and socket, and has been much copied in machinery where a flexible joint is required. In a good many people the union of the innominate bones to the sacrum is not so firm but that it yields somewhat when strains are put on it. ”

“ The abdominal control, upward and backward, and the lower back control, upward and forward, unite to give a binder effect around the hips. The forward pressure on the sacrum (lower part of the spine) and backward pull over the hip bones hold with a firm grip and bring marked relief to the sacro-iliac strain. The anatomically shaped binder attachment reinforces and maintains the supporting pressure around the hips in all positions. ”

“ When the hip-joint has been dislocated, and long delay has made it impossible to restore the parts to their proper places, the head of the thigh-bone, imbedded in the surrounding muscles, becomes fixed in its new position by attachments of fibrous tissue, which afford support enough to permit a halting walk. ”

“ Still larger hips in proportion to the seat and still larger sizes can be calculated the same way, and though the rule would hold good in the case of quite small hips, the proportionately smaller hips are seldom found, and if found at all, will indicate a smaller waist, and the slope to the smaller waist will regulate the smaller hip, the same as a larger waist will regulate a larger hip. ”

“ If the thigh piece is curved forwards, and particularly if the limb is built with a very slight flexion of the knee, the stump remains slightly flexed at the hip and the patient feels as if he is sitting in the apparatus. ”

“ External examination of the muscles of the hip and thigh reveals a certain degree of rigidity, with perhaps some soreness, and the stifle bone may be seen projecting more or less on the outside and upper part of the joint. ”

“ The right shoulder is slightly elevated, while the left hip is depressed and projects upward. If not corrected while in its earlier stages, it progresses very rapidly, and a second curvature is developed. ”

“ Work the hip the same way on the hip line, 1⁄2 of hip measurement from B to H and from H to I measure 1/6 of hip measurement. Raise up a straight line from H to K and measure 1/6 of hip from H to J and cross a line from J to X. Measure from K to O, 1⁄4 of waist measurement amounting to 61⁄4 inches according to 25 inches waist. From O to P allow 2 inches for seams. Raise up from P to O a 1⁄2 inch and lower from K to R with 1⁄2 inch and connect a line from R to Q. Then curve from Q to X down to B for hip curve. ”

“ In case the limb is turned forward from the hip, and the fetus so wedged into the passage that turning is impossible, the case is very difficult. I have repeatedly succeeded by cutting in on the hip joint and disarticulating it, then dissecting the muscles back from the upper end of the thigh bone. ”

“ The sudden rise of a lady’s hip, and the marked difference between the size of the waist and of the body but a few inches below, make it extremely difficult to obtain the necessary amount of freedom for the prominence of the figure at this part of the body. ”

“ Second Subject Second subject, in plate 9, illustrates a very fashionable "flat­tening hip" corset, such as has been sold by thousands the past two seasons in the best shops of this country. The directions of the extreme pressures are indicated by the arrows. The body is cramped through lower part of thorax and hips until it is im­possible to assume an erect posture. ”

“ Dislocation at the hip-joint takes place in four ways, or rather places; for it is dislocated either inwards, outwards, forwards, or backwards; inwards and outwards frequently, more especially inwards; but forwards and backwards very rarely. When the dislocation is inwards, the affected leg, if compared with the sound one, appears longer, the knee is more prominent, the patient cannot bend the leg at the groin, and a swelling is clearly felt in the perineum, from the head of the thigh being lodged there. ”

“ From exercise, then, the fleshy parts on the hand and fore-arm are not atrophied in weasel-armed persons, and by these means the arm, too, gains flesh. But in dislocation inward at the hip-joint, whether from birth or from childhood, the fleshy parts, on that account, are much more atrophied than those of the hand, because the patients cannot exercise the leg. ”

“ A man's width across the hips is equal to the distance from the top of the hip to the bottom of the buttock, when a man stands equally balanced on both feet; and there is the same distance from the top of the hip to the armpit. The waist, or narrower part above the hips will be half way between the arm pits and the bottom of the buttock. ”

“ If this joint had been made pliable on all sides, as that of the shoulder, or that of the thigh bone with the hip, a man would have had his legs bent on each side as often as backwards and forwards, and seldom or never straight with the thigh. ”

“ Should the child be unusually backward in walking, and when it does so should limp and feel pain in the knees, it should be examined for any symptom of hip joint disease, of which these are the earliest signs. ”

“ The level pelvis and relatively straight lumbar spine compel a wholesome action of the abdominal parietes, by which full support of the loosely attached abdominal organs is maintained and the waist kept small, preventing unsightly thickening of the tissues in this region.
A small waist is only beautiful if the lateral line drops into the hip gradually and passes out over the hip bone in a steady but not sudden curve. ”