Lateral curvature of the spine and round shoulders . prominent in front thanthe right. In severe cases the lowerend of the sternum is generally dis-placed toward the convexity of thecurve—in this case to the right. Thecontour of the chest is changed, andthe longest thoracic diameter is theoblique antero-posterior line from thepoint rotated backward on the rightto the point rotated forward on theleft—in this case from the right scap-ula to the left nipple. This descrip-tion is, of course, to be reversed forleft dorsal curves. The dorsal physiological curve ismost often increased, making theroun
Lateral curvature of the spine and round shoulders . prominent in front thanthe right. In severe cases the lowerend of the sternum is generally dis-placed toward the convexity of thecurve—in this case to the right. Thecontour of the chest is changed, andthe longest thoracic diameter is theoblique antero-posterior line from thepoint rotated backward on the rightto the point rotated forward on theleft—in this case from the right scap-ula to the left nipple. This descrip-tion is, of course, to be reversed forleft dorsal curves. The dorsal physiological curve ismost often increased, making therounded and distorted back spoken ofas kyphoscoliosis, (Fig. 51). It may,however, be flattened, and evenslightly concave forward in the dorsalregion. Loss of height and shorteningof the trunk are evident in the severercases. The aspect is wholly different fromthat seen in lumbar cases, where, ashas been said, the chief noticeable dis-tortion is in the hips and waist-line; in dorsal cases the distortion ismost noticeable in the thorax and Fig. 51.—Kyphoscoliosis. DORSOLUMBAR CURVES Dorsolumbar scoliosis is a form seen as a simple curve with con-siderable frequency (20 per cent.), being, therefore, much more com-mon than simple lumbar, but about as frequent as simple dorsalscoliosis. It naturally partakes of the character of the two forms 66 DESCRIPTION AND SYMPTOMS just described and affects nine females to one male. The seat ofgreatest curve is generally at the dorsolumbar junction. It is fourtimes as frequently convex to the left as to the right. The trunk andlower thorax are displaced toward the side of the convexity of thecurve and overhanging the pelvis, and the waist-line on that side isflattened or obliterated, while on the concave side the outline cuts in sharply above the pelvis, fre-quently forming folds in theskin. The attitude is morelike that of an exaggeratedtotal scoliosis than like eitherthe dorsal or lumbar form. Itis not so prone to be associ-ated
Size: 1022px × 2445px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorlovettrobertwrobertwi, bookcentury1900, bookdecade1910
