A treatise on orthopedic surgery . en byraising the legs and swaying the bodyfrom side to side (Fig. 15). Thechange in the rhythm of respirationhas been mentioned. Although therespiratory movement of the entirethorax is lessened in range, the re-straint does not affect all the ribsequally; those that articulate withthe diseased vertebrae are often nearlymotionless, while the movement ofthose at a distance from the diseasemay approach the normal. In tracing the neuralgic pain toits source the sharp, downward in-clination of the ribs must be bornein mind; thus, the cause of pain inthe stomach mu
A treatise on orthopedic surgery . en byraising the legs and swaying the bodyfrom side to side (Fig. 15). Thechange in the rhythm of respirationhas been mentioned. Although therespiratory movement of the entirethorax is lessened in range, the re-straint does not affect all the ribsequally; those that articulate withthe diseased vertebrae are often nearlymotionless, while the movement ofthose at a distance from the diseasemay approach the normal. In tracing the neuralgic pain toits source the sharp, downward in-clination of the ribs must be bornein mind; thus, the cause of pain inthe stomach must be looked forbetween the shoulder blades. As in the lumbar region, slightlateral deviation of the spine is notuncommon, and it may be accompanied by a noticeable twistor rotation so that the ribs on one side project slightly back-ward (Fig. 22). In this region the spinal cord is more often involved than indisease of other sections; thus, an awkward, stumbling gait andfinally loss of walk may first attract attention. The paraly-. Marked lateral deviation ofthe spine with rotation. De-formity at the eighth dorsalvertebra. TUBEBCULOUS DISEASE OF THE SPINE. 55 sis of Potts disease and its differential diagnosis are consideredin more detail elsewhere. Abscess as a complication of disease of the thoracic regioncannot be demonstrated by palpation unless it has found anoutlet between the ribs, but percussion will often show an areaof dulness or flatness extending from the diseased vertebraetoward the lateral aspect of the chest. This is due in part. Fig. 23.
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