A treatise on orthopedic surgery . of the hand due to over-growth of one or other of the bones of the forearm or to lossof growth caused by disease or operative treatment are occasion-ally seen. Radical operations in early life which involve re-moval of growing bone should always be avoided. CONGENITAL DEFORMITIES AT THE WRIST. Simple congenital dislocation at the wrist is extremely of the wrist and hand is usually associated withdefective development of the bones of the arm, and the de-formity is usually classed as club-hand. ^Eevue dOrthop., Jan., 1907. DEFOEMITIES OF TEE U
A treatise on orthopedic surgery . of the hand due to over-growth of one or other of the bones of the forearm or to lossof growth caused by disease or operative treatment are occasion-ally seen. Radical operations in early life which involve re-moval of growing bone should always be avoided. CONGENITAL DEFORMITIES AT THE WRIST. Simple congenital dislocation at the wrist is extremely of the wrist and hand is usually associated withdefective development of the bones of the arm, and the de-formity is usually classed as club-hand. ^Eevue dOrthop., Jan., 1907. DEFOEMITIES OF TEE UPPEB EXTBEMITY. 511 CLUB-HAND. Congenital distortions of the hand may be divided into fourprimary varieties, according to the direction in w^hich the handis turned, viz.: 1. Forvi^ard or palmar. 2. Backward or dorsal. 3. Lateral to the radial side—radial. 4. Lateral to the ulnar side^—ulnar. Lateral and anteroposterior distortions occur also in combina-tion. —There are two distinct varieties of club-hand: Fig. Club-hands and club-feet. 1. In which there is simple distortion caused apparently byabnormal restraint and pressure in utero. In certain cases ofthis class there may be limited motion at both the shoulder andelbow-joints and defective muscular development, apparentlydependent upon long-continued fixation. 2. In which the deformity is associated with defective devel-opment of the radius or ulna and often with congenital ab-normalities of other parts. 512 OBTHOPEDIC SUBGEBY. In tlie palmar and dorsal distortions the bones of the arm areusually normal. The lateral deviations of the hand are oftencomplicated by defective formation of the radius or ulna, andas in talipes due to absence of the tibia or fibula the hand maybe malformed also. Deficient formation of the radius with corresponding distor-tion is the most common. Of this 114 cases are recorded. In56 cases it was stated that the deformity was unilateral, in 46bilateral. In 44 cases the radius was
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
