A treatise on orthopedic surgery . muscles. In others it appearsto be a complication of so-called foetal rhachitis. Treatment.—The treatment consists in regular massage andmanipulation, with the aim of increasing the range of , if present, may be rectified in the usual manner. Prognosis,^—The prognosis depends upon the cause of the con-traction or fixation. In most instances, under careful and con-tinued treatment, the range of motion may be in great degreerestored. CHAPTEK XI. DISEASES AND INJURIES OF THE ANKLE-JOINT. TUBERCULOUS DISEASE OF THE ANKLE-JOINT. Disease of the ankl
A treatise on orthopedic surgery . muscles. In others it appearsto be a complication of so-called foetal rhachitis. Treatment.—The treatment consists in regular massage andmanipulation, with the aim of increasing the range of , if present, may be rectified in the usual manner. Prognosis,^—The prognosis depends upon the cause of the con-traction or fixation. In most instances, under careful and con-tinued treatment, the range of motion may be in great degreerestored. CHAPTEK XI. DISEASES AND INJURIES OF THE ANKLE-JOINT. TUBERCULOUS DISEASE OF THE ANKLE-JOINT. Disease of the ankle-joint is the third in the order of impor-tance, although it is far less common than is disease at the knee. In five consecutive years 1788 cases of tuberculous disease ofthe joints of the lower extremity were treated at the out-patientdepartment of the Hospital for Euptured and Crippled. per cent, of these the hip-joint was affected; in percent, the knee-joint, and in but per cent, the ankle-joint. Fig. Tuberculous disease of the ankle and tarsus. A^ disease of the ankle and sub-astragaloid joints. Bj, cavity in the os calcis containing sequestrum. Pathology.—The pathology of tuberculous disease at theankle differs in no essential particular from that of disease ofthe hip and knee. It does not, therefore, call for special con-sideration. It is of interest to note, however, that abscess is amore common complication at this than at the other joints. In 30 final results of disease at the ankle reported by Gibney,^abscess was present in 25 (83 per cent.). In 78 final results^ American Journal of Obstetrics, April, 464 OETHOPEDIC SUEGEBY. reported by Prendlsburger^ abscess was present in 68 (87 percent.), as contrasted with a percentage of 69 and 51 at the kneeand hip, respectively. This gTeater liability to abscess is prob-ably apparent rather than actual, since the ankle-joint is sosuperficial that fluctuation may be detected here that would
Size: 2076px × 1204px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
