A treatise on orthopedic surgery . Tuberculous disease of the elbow-joint. tissue rather than to effusion within the capsule, but as thedisease progresses the joint assumes the peculiar spindle shapecharacteristic of white swelling. The degree of elevation of thelocal temperature depends upon the activity of the disease. Themost important physical sign is the restriction of motion due tothe characteristic muscular spasm which becomes evident whenthe limit of painless motion is passed. The limitation of ex-tension and flexion gradually increases, and finally the limb be-comes fixed in an attitu
A treatise on orthopedic surgery . Tuberculous disease of the elbow-joint. tissue rather than to effusion within the capsule, but as thedisease progresses the joint assumes the peculiar spindle shapecharacteristic of white swelling. The degree of elevation of thelocal temperature depends upon the activity of the disease. Themost important physical sign is the restriction of motion due tothe characteristic muscular spasm which becomes evident whenthe limit of painless motion is passed. The limitation of ex-tension and flexion gradually increases, and finally the limb be-comes fixed in an attitude midwav between flexion and exten- DISEASES OF ARTICULATIONS OF UPFEB EXTEEMITTAS7 sion, with the forearm in an attitude between pronation andsupination. This is the characteristic deformity of the of the muscles of the arm and forearm is present,corresponding to the intensity and duration of the disease andto the functional disability of the joint. Fig. Tuberculous disease of the elbow-joint; the stage of recovery. Treatment.—The treatment here as elsewhere consists essen-tially in placing the joint at rest in the attitude at which anchy-losis or limitation of motion will least inconvenience the patient,and at the elbow-joint this is practically at right angular flexion(Fig. 322). In the treatment of young children the wrist may be attachedclosely to the neck by means of a sling, in an attitude of acuteflexion at the elbow (the Thomas method) within the a light plaster splint may be used to fix the joint, the wristbeing supported by a sling. This enables the patient to dresshimself without moving the joint and at the same time protectsit from injury. Other forms of splints may be employed, butthe plaster support answers every purpose. It should, of course, 488 OBTHOPEDIC SUBGEEY. extend from the axilla to the wrist, and in sensitive cases it mayinclude the hand also. The Bier treatment may be easily ap-plied and its eff
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
