A treatise on orthopedic surgery . he hips; it issometimes a result of certain forms of nervous disease, in which,because of muscular weakness, the body is swayed backward to 230 OETHOFEDIC SUBGEBT. retain tlie balance, as in the muscular dystrophies. Lordosisin the lumbar region may be a compensation for a kyphosis inthe upper segment. It is caused directly by may be a congenital deformity, and it is said to be a pecu-liarity of contortionists (Fig- 172). Treatment.—As lordosis is usually a secondary deformity itstreatment would be included in the treatment of its causes.
A treatise on orthopedic surgery . he hips; it issometimes a result of certain forms of nervous disease, in which,because of muscular weakness, the body is swayed backward to 230 OETHOFEDIC SUBGEBT. retain tlie balance, as in the muscular dystrophies. Lordosisin the lumbar region may be a compensation for a kyphosis inthe upper segment. It is caused directly by may be a congenital deformity, and it is said to be a pecu-liarity of contortionists (Fig- 172). Treatment.—As lordosis is usually a secondary deformity itstreatment would be included in the treatment of its causes. Insome instances the discomfort which is usually present when thedeformity is well-marked may be relieved by a proper corsetsufficiently strong to support the back. CONGENITAL ELEVATION OF THE SCAPULA. Synonym.—Sprengels deformity. Sprengels deformity is a congenital elevation of the scapulaabove the level of its fellow, an elevation accompanied in mostinstances bv rotation, so that its lower angle is brought nearer Fig. Congenital elevation of the left scapula : with the arm elevated the scapulais in contact with the occiput, as is indicated by the deep fold; age of thepatient three months. to the Spine while its upper border projecting and bent forwardabove the clavicle has in several instances been mistaken for anexostosis (Fig. 173 j. The cervical muscles passing to the scap-ula are shortened and changed in direction and in about 25 percent, of the cases the median border of the scapula is attachedto one of the lower cervical vertebrse by a bony prolongationwhich may be an outgrowth from a transverse process or jointedat either extremitv. Thus, its mobilitv is lessened and the DEFORMITIES OF THE SPINE. 231 range of vertical extension of the arm is restricted. The de-formity may be combined with torticollis or with cervical ribsor defective formation of the spine, for example, absence ofvertebrEe or rhachischisis. In many instances there is an accom-panying latera
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
