A system of surgery : theoretical and practical . which alone corresponds to a waist, is mei-ely ahollow in the side, from depression in the ribs, and is situated far above the level ofthe proper place of the waist: so that a line drawn between them would be highly ob-lique, instead of horizontal. The differencein form of the two sides of the waist in anaverage scoliosis is well shown in fig. 95 . —From the upper or dorsal curvebeing situated in the part of the spine towhich the ribs are attached, the walls ofthe chest are included in the , as the scapules rest on the che
A system of surgery : theoretical and practical . which alone corresponds to a waist, is mei-ely ahollow in the side, from depression in the ribs, and is situated far above the level ofthe proper place of the waist: so that a line drawn between them would be highly ob-lique, instead of horizontal. The differencein form of the two sides of the waist in anaverage scoliosis is well shown in fig. 95 . —From the upper or dorsal curvebeing situated in the part of the spine towhich the ribs are attached, the walls ofthe chest are included in the , as the scapules rest on the chest, theposition of the shoulders is also , owing to there being a naturalstoop forward at the dorsal region, thefeatures of the distortion are renderedto a certain degree more distinct thanbelow. On examining the dorsal region of apatient in whom the deformity is incipient,the first thing to be remarked here, also,will be a want of symmetry on the twosides. Supposing the case to be one ofan average kind, there will be increased. Fig. 105.—Diagram representing a supposedtransverse section of the Abdomen, atthe lumbar region. fulness and elevation on the right, andcontraction with depression on the line of the lateral curve will, to someextent, be ti^aced by following the courseof the spinous ridge. But, in order toestimate the accompanying rotation, theelevations on each side of the ridge, corre-sponding to the transverse processes, mustbe looked to; when that upon the convexitywill be found abnormally protuberant, andthat upon the concavity proportionatelydepressed. Attending next to the t-ibs: the changesin their position are twofold, depending ondistinct causes. Taking the convex sidefirst, the ribs radiate from the spine, likethe rays of a fan, so that the distal ends are separated and the intexcostal spaces en-larged ; but, in addition to this, they project backwards (see fig. 103). Looking next tothe concave side, the ribs converge, like the sp
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Keywords: ., bookcentury1800, booksub, booksubjectsurgicalproceduresoperative
