A treatise on orthopedic surgery . vnthout previous division of the contracted tissues,but the use of so much force appears to be undesirable if by soslight an operation it may be avoided. After all resistance to passive motion has been overcome byvigorous manipulation the head should be fixed during theprocess of repair in the overcorrected position. Thus in thetreatment of typical torticollis the chin should be turned to apoint over the middle of the clavicle on the operated side, andthe head should be inclined toward the opposite shoulder, while CONGENITAL AND ACQUIBED TORTICOLLIS. 685 the
A treatise on orthopedic surgery . vnthout previous division of the contracted tissues,but the use of so much force appears to be undesirable if by soslight an operation it may be avoided. After all resistance to passive motion has been overcome byvigorous manipulation the head should be fixed during theprocess of repair in the overcorrected position. Thus in thetreatment of typical torticollis the chin should be turned to apoint over the middle of the clavicle on the operated side, andthe head should be inclined toward the opposite shoulder, while CONGENITAL AND ACQUIBED TORTICOLLIS. 685 the neck is held, in the median line. In this attitude a plasterbandage should be applied surrounding the head and the should remain until all local sensitiveness has disappeared,and until the tendency toward deformity has been in the overcorrected position is very important inchildhood, as an aid in overcoming the deformity habit, but itmay be dispensed with in the treatment of adults (Fig. 442). Fig. Torticollis, left, showing the method of flxing the head in the overcorrectedposition. After operation. The plaster support is usually retained from four to eightweeks. When it is removed, massage, manipulation, and gym-nastic training are indicated. Twice a day the head should beforced to the extreme limit of overcorrection. Traction on theneck in self-suspension by means of the sling used in the ajDpli-cation of the plaster jacket, a regular system of exercises forthe muscles of the neck and back, and supervision of the habitualpostures will usually assure a comj)lete cure. If, however, thedeformity habit is strong so that the head has a marked tendencyto resume the former attitude, some support is indicated. A 686 OBTEOPEDIC SUBGEBT. simple and effective supjDort is the jury-mast as used in thetreatment of Potts disease with the plaster jacket or attached toa brace. As has been stated, the necessity for support, provided thedeformity has been thoro
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
