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Journal of Bone and Joint Surgery, 1944;26:272-281.
© 1944 by The Journal of Bone and Joint Surgery, Inc

THE CAUSE OF DISCREPANCY IN LENGTH OF THE LIMBS FOLLOWING TUBERCULOSIS OF THE HIP IN CHILDREN

Arrest of Growth from Premature Central Closure of the Epiphyseal Cartilages about the Knee

Gerald G. Gill M.D.1

1 Division of Surgery, Department of Orthopaedic Surgery, University of California Medical School, San Francisco, California, and the New York Orthopaedic Dispensary and Hospital, New York, N. Y.

Premature central closure of the epiphyseal cartilages about the knee may follow tuberculosis of the hip in children. In the author's opinion, the marked discrepancy in bone length seen in these cases is the result of the arrest of growth from this condition. Extreme decalcification and trauma are the probable causes of this serious complication.

The prevention of inequality in length is dependent upon the early recognition of its cause and the institution of proper methods of treatment to obviate its further increase from growth of tile normal leg.


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