File:Buffalo medical journal (1901) (14598091888).jpg

Identifier: buffalomedicaljo4119unse (find matches)
Title: Buffalo medical journal
Year: 1902 (1900s)
Authors:
Subjects: Medicine
Publisher: Buffalo, N.Y. : (s.n.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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Splint. Fig. 8. Fig:s. 8 and g, illustrate the anatomy of the muscles surround-ing: the liip-joint. These muscles, when affected by spasm, act ina line parallel with the axis of the neck of the bone, hence thenecessity of lateral traction to overcome intraarticular pressure.Fig:, lo shows how comfortably a patient can sit with the lateraltraction fixation splint, fully as comfortably as with a long: trac-tion splint. PHELPS : TUBERCULAR DISEASE OF THE SPINE AND HIP. 95 Belore this or any other splint is adjusted, however, the patientshould be treated in bed until deformity is overcome and theactive stag-e of the disease somewhat modified. To conclude, my observations lead me to believe that the mostserious element of destruction in hip-joint disease is the traumaand pressure produced by thejspasm of the muscle; that fixation
Text Appearing After Image:
of the joint without extension is an impossibility; that the suc-cessful treatment of the joint must depend upon its absoluteimmobilisation, which can only be produced by proper extensionand fixation ; that the constitutional treatment of hip-jointdisease amounts to but little, independent of mechanical treat-ment; that mechanics is everything-; that extension in a line withthe axis of the shaft and deformity alone, in hip-joint disease, g6 PHELPS : TUBERCULAR DISEASE OF THE SPINE AND HIP. is entirely wrong; that extension should be made in a lineparallel to the axis of the neck—in other words, two lines ofextension—otherwise the idea of extension is not perfectly carriedout; that ankylosis of the joint is not produced by immobilisation,but b)^ the severity and character of the inflammation; that thelong traction hip-splints in general use neither properly extendnor immobilise the joint; that intraarticular pressure results in thedestruction of the joint or ankylosis in a large pe

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