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THE OBTURATOR SIGN AS THE EARLIEST ROENTGENOGRAPHIC SIGN IN THE DIAGNOSIS OF SEPTIC ARTHRITIS AND TUBERCULOSIS OF THE HIP
Hans W. Hefke; Vernon C. Turner
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Milwaukee Children's Hospital
1942 by The American Orthopaedic Association, Inc.
The Journal of Bone & Joint Surgery.  1942; 24:857-869 
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Abstract

1. The normal appearance of the obturator shadow is described.

2. In certain types of hip pathology the obturator shadow becomes obscured, or it becomes widened with a more curved border. This is called a positive obturator sign.

3. The greatest value of this sign is in the early roentgenographic diagnosis of septic hip disease.

4. It is of some importance in the early diagnosis of tuberculosis of the hip.

5. It is not present in fractures about the hip, osteochondritis, and other pathological conditions of the hip.

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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