. The surgical treatment of the common deformities of children . lsewhere, and is often over-looked for a long time. Abscess formation is com-mon, the pus usually tracking either down alongthe sheath of the psoas and iliacus to form a psoasabscess, or backwards, pointing somewhere in thegluteal region. Chapter WRY NECK, OR TORTICOLLIS. wryneck. Wry neck is not itself a distinct disease, but bythis term we designate that deformity of the headand neck which results from contraction primarilyof the sterno-mastoid muscle on one side, andsecondarily of the scalenes, the trapezius, thesplenius
. The surgical treatment of the common deformities of children . lsewhere, and is often over-looked for a long time. Abscess formation is com-mon, the pus usually tracking either down alongthe sheath of the psoas and iliacus to form a psoasabscess, or backwards, pointing somewhere in thegluteal region. Chapter WRY NECK, OR TORTICOLLIS. wryneck. Wry neck is not itself a distinct disease, but bythis term we designate that deformity of the headand neck which results from contraction primarilyof the sterno-mastoid muscle on one side, andsecondarily of the scalenes, the trapezius, thesplenius, and more rarely, of the complexus.* Thecontraction may be either spastic or mechanical, ofa reflex, or of central nervous origin, or the resultof injury or inflammation of the muscle itself, orof the parts in its neighbourhood. Degrees ot Wry neck is found in all degrees of severity from severity. J ° • a slight permanent rigidity of one tendon of inser-tion of the sterno-mastoid (usually the sternal one),to the production of extreme and disabling distor-. * That is, true wry neck, but, as will be seen, the term isused for the results of cicatricial contraction as well. TORTICOLLIS. 65 tion of face and neck and shoulders. If weexamine a well-marked case we find that the direc-tion of the head and face is permanently altered(Fig. 21); the ear on the affected side is broughtdownwards and forwards so as to approximate theshoulder ; the head is drawn backwards and rotatedso that the chin is raised and the face looks up-wards and is turned towards the sound side. Infeeling for the insertion of the sterno-mastoid, bothits divisions will be found to be rigid, and appar-ently starting away from the parts beneath. Thewhole neck is strikingly concave on the affectedside, and convex and elongated on the sound is slight eversion of the eyelid, and slightlowering of the corner of the mouth on the con-tracted side. In yet more severe cases the lowerjaw remains imperfectly deve
Size: 1759px × 1420px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, booksubjectabnormalitieshu, booksubjectchildren
