Lectures on Orthopaedic Surgery: Delivered at the Brooklyn Medical and Surgical Institute

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Wood, 1868 - Orthopedic surgery - 336 pages
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Page 268 - In drawing a line from the anterior superior spinous process of the ilium, to the tuberosity of the ischium, it passes on its way, from one point to the other, the apex of the large trochanter, in the normal position of the femur. It crosses the trochanter more or less below the apex in dislocation.
Page 35 - ... LITTLE and BARWELL, and, equally with BARWELL, omits to mention the calcaneo-metatarsal and calcaneo-phalangeal muscles, as elements in the etiology. Referring the disease to the shortened muscles, he says, " As a general thing, the contracted muscles have lost all susceptibility of being acted upon by the galvanic current, yet their powerful extension gives rise to unbearable pain. This fact seems to demonstrate that the muscular structure is in a state of contraction to the extent of its capacity,...
Page 332 - Taylor perceived a stiffness and uneasiness in the left groin, andón examination found a small hard tumour immediately above Poupart's ligament, midway between the anterior superior spinous process of the ilium and the tuber of the pubis.
Page 67 - 1st. The tendon to be divided should not be exposed ; its section should be accomplished by...
Page 100 - This part of the spinal cord was soft and pulpy for about two inches ; lower down it appeared somewhat shrunken and wasted. There was no great vascularity of the surface, and no effusion of serum. The periosteum covering the posterior surface of the bodies of the fourth, fifth, sixth, and seventh cervical, and of the first dorsal vertebrae, was more or less destroyed and detached, leaving the surface of the bones bare, white, and rough.
Page 62 - It should be used with assiduity every day and for months in continuation ; it will...
Page 67 - There is danger of exfoliation of the tendon unless this precaution be taken. 2d. Immediately after division of the tendon, the divided extremities should be brought in contact, and so held by a suitable apparatus until reunion is accomplished. 3d. As reunion can only take place by an intermediate fibrous substance, gradual and careful extension should be made to give the required length to the shortened muscles before solidification takes place. 4th. Extension being complete, the limb should be...
Page 50 - All forms of varus are caused by either muscular contraction or motor paralysis, and the individual bones of the foot yield only so much in their respective positions, as they are forced to do, by the abnormal muscular traction, and the superincumbent weight of the body. Being held for some time, and acted upon in the preternatural position, they gradually mould themselves accordingly, and become consequently malformed.
Page 37 - ... be necessary to divide the tendo Achillis, but it should always be avoided if possible, since it is merely a temporary expedient, which always leaves behind it a certain deformity." (P. 127.) In contrast with this again is the language of Bauer (p. 24) : "As a general thing, you have only to deal with the contracted muscles, and division is the sovereign remedy. But if the case has existed from infancy, the bones have in form accommodated themselves to their abnormal position; the tibiotarsal...
Page 267 - ... capsular ligament, and will invariably give rise to the formation of abscess, corresponding in locality with the place of perforation. In the moment the perforation is effected a new series of symptoms appears, and with which the third stage of the disease is ushered in. The, third stage is distinguished by diametrically opposite symptoms. The contrast of the two stages can best be realized by placing them in juxtaposition, Second stage. Third stage. Affected limb. Affected limb. Apparently elongated....

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