Deformities, including diseases of the bones and joints v.1, Volume 1

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Macmillan, 1912
 

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Page 216 - THE literature of the treatment of club-foot is, as a rule, that of unvarying success. It is often as brilliant as an' advertising sheet, and yet in practice there is no lack of half-cured or relapsed cases, — sufficient evidence that methods of cure are not universally understood.
Page 217 - Every change in the formation and function of the bones, or of their function alone, is followed by certain definite changes in their internal architecture and equally definite secondary alterations of their external conformation in accordance with mathematical laws.
Page 343 - The peronei tendons which are divided at the first stage of the operation are then attached to the insertion of the tendo Achilles and to the os calcis by strong silk sutures. The object of the removal of the astragalus is to secure stability and to prevent lateral deformity by placing the leg bones directly on the foot. The object of the backward displacement of the foot is to direct the weight upon its center and thus remove the adverse leverage which induces dorsal flexion. DISCUSSION. Dr. Henry...
Page 300 - THE deformity here described is not uncommon among men who engage in athletic sports. When the extensor tendons of the fingers are tense, a blow upon the end of a finger transmitting force in a direction which would ordinarily flex the finger, results in injury to the extensor tendon in the vicinity of its attachment to the dorsal surface of the last phalanx. The injury consists, not in a bodily separation of the tendon from its points of attachment, but rather in a thinning of the tendon...
Page 339 - A long, curved, external incision is made passing from a point behind and above the external malleolus below its extremity and terminating at the outer aspect of the head of the astragalus. The peronei tendons are then divided just in front of the malleolus. completely separated from their sheaths and drawn backward. The lateral ligaments are next divided and the joint is opened. The interosseous ligament is cut through and the foot is twisted inward. When the attachments to the navicular have been...
Page 302 - ... two centimetres in length, over the site of the injury, dividing the thinned tendon longitudinally into the two principal fasciculi into which it naturally separates, dividing the tendon transversely, cephalad from the thinnest point, and advancing each fasciculus to a point upon its own side of the finger near the base of the finger-nail. At this point the fasciculus is sutured to the under surface of the skin with a suture which passes through the skin and is tied upon the outside. The fasciculi...
Page 242 - Figs. 1 to 4, inclusive, and counter-pressure at two points, one on the inner side of the leg, at B, and the other at the inner border of the foot, at C. It is advisable to keep in mind that this simple instrument is a lever, because, if we know that we are using a lever with its three well-defined...
Page 592 - The long splca as applied for the treatment of fracture of the neck of the femur in the adult at an angle of abduction of 45 degrees.
Page 345 - Make a longitudinal incision at back of heel, the center being opposite the ankle-joint. Open the joint and take a wedge from the astragalus, sufficiently large to be accurately obliterated when the foot is brought to right angles. Denude tibia and fibula of cartilage.
Page 464 - Too high a seat produces pressure on the back of the thighs; too low a seat induces flexion of the lumbar spine. 2. The slope of the seat should be backward and downward about three-eighths of an inch. The depth of the seat should be about twothirds the length of the thighs. The width of the seat should be that of the buttocks. Some concaving of the seat is comfortable, but not essential. 3. The back of the seat should have a slope backward of one in twelve from the vertical line (Saxon regulations)....

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