File:Lectures on orthopedic surgery (1899) (14753585886).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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FiG. 28.—Front view ol patient shown in Fig. 27. fully examined, gives no rigidity from involuntarymuscular spasm. The spine is held more or less rigidto bending in one direction, or to bending in more thanone direction; but the characteristic rigidity of invol-untary muscular spasm is wanting, and the patientusually complains of pain on voluntary bending, asymptom very rarely found in spondylitis. There is 46 no distant pain, the pain being confined to some por-tion of the spine itself and associated with tenderness
Text Appearing After Image:
Fig. 29.—a case of tubercular spondylitis simulating scoliosis, showinglateral and rotary deformity. The onset was very rapid and the rigidity great.The diagnosis was not made until treatment by exercises had increased thedeformity and rigidity. The deformity was gradually corrected under treat-ment by immobilization. 47 on pressure. The condition is most frequently foundin young women, often associated with other hystericalmanifestations, and may remain unchanged for years.There is no true kyphosis. Malignant disease of the spine in its very early stagecannot be diagnosticated from commencing spondylitis.The history of the case as to hereditary tendency, takentogether with the age of the patient and his general ap-pearance, may make the diagnosis of malignant diseaseprobable, but nothing can be positively said until theprogress of the disease, or the symptoms due to pressureof the tumor clear up the doubt. The symptoms inmalignant disease grow steadily worse despite all treat-ment,

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