File:Lectures on orthopedic surgery (1899) (14590074127).jpg

Identifier: lecturesonortho00ridl (find matches)
Title: Lectures on orthopedic surgery
Year: 1899 (1890s)
Authors: Ridlon, John, 1852-1936 Thomas, Hugh Owen, 1834-1891 Jones, Robert, joint author
Subjects: Orthopedics
Publisher: Philadelphia, E. Stern & Co., Inc.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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veral healthy vertebrae, in which case twoangular deformities result. Late in the disease, whenhealing has progressed to a considerable extent, two ormore vertebral bodies may be found consolidated intoa confused mass by the deposit of new bone. The symptoms of spondylitis may be common to thedisease in any part of the spine whatsoever or peculiarto the part of the spine affected. The symptoms com-mon to the disease in any part of the spine are asfollows: The face expresses apprehension, pain, andpremature old age. The patient walks and moves withcare, as if to avoid any jar or sudden movement. Therecan be obtained a history of uneasiness, fretting, and 19 irritability, and for soroe tinie the patient has been dis-inclined to exercise as actively as usual and has beeneasily fatigued. Distant pain, felt in the terminal fila-ments of the nerves whose motor branches go to supplythe muscles controlling motion of the spine at the pointof disease, has generally been felt, though it may have
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Fig. 3.—Bony deposit and ankylosis in a(Krause.) case of healed spondylitis. 20 been absent, as may also have been restlessness, cryingand screaming during the first hours of sleep. De-formity may or may not have been noticed, and thecomplications—abscess and paralysis—may or may nothave appeared. For proper examination the patient should be strippednaked. Girls who have reached the aged of pubertyand women should receive certain consideration, and itis customary to examine such with the back alone bared.It may be convenient to have the undershirt put on infront as an apron with the sleeves pinned or tied aboutthe neck; the skirts can then be dropped to the levelof the greater trochanters and held with a large safety-pin, or by a piece of bandage tied around the hips.The back is then inspected for any deviation, excurva-tion, incurvation, or prominent vertebrae. If found, the-disease may be suspected of being present at the middleof the curvature; but it must be remembered thats

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