a bad hip and a sleepy leg

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Senior Member
Dear all,
this is from the story by Adam Johnson Fortune Smiles.

He had a bad hip and a sleepy leg that he dragged around.

There is nothing (so far) in the text of the story that can explain the difficulty. It's clear that his leg is ill. I wonder if it's possible to tell whether it is so as a result of a trauma or some anomaly in development. Could you help please?
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