A treatise on orthopedic surgery . cases the local disease was cured. In 68 per cent, of thecases the patients were able to use the limb at hard labor, andin the others it was efficient for light work. In 6 cases therewas subluxation or luxation; in 5 the joint was not firm. In59 per cent, the motions were practically normal. In 11 percent, the joint was anchylosed. ^Arehiv f. klin. Chir., Bd. Ix., H. 2. DISEASES OF ABTICULATIONS OF UPPEB EXTBEMITYASd Prognosis.—If the case is treated at an early stage the prog-nosis in childhood is good. The duration of treatment may beestimated at two years
A treatise on orthopedic surgery . cases the local disease was cured. In 68 per cent, of thecases the patients were able to use the limb at hard labor, andin the others it was efficient for light work. In 6 cases therewas subluxation or luxation; in 5 the joint was not firm. In59 per cent, the motions were practically normal. In 11 percent, the joint was anchylosed. ^Arehiv f. klin. Chir., Bd. Ix., H. 2. DISEASES OF ABTICULATIONS OF UPPEB EXTBEMITYASd Prognosis.—If the case is treated at an early stage the prog-nosis in childhood is good. The duration of treatment may beestimated at two years or more, and a fair range of motion willbe preserved in half the cases. Anchylosis in the right-angledposition does not, however, seriously inconvenience the patient,provided the cure is absolute. The loss of growth is usually lessthan when the upper epiphysis of the humerus has been de-stroyed, the final disproportion depending, of course, upon theage of the patient and upon the degree of function that is preserved.^ Fig. Tuberculous disease of the wrist and knee-joints, showing the characteristic de-formities in neglected cases of a severe type. TUBERCULOUS DISEASE OF THE WRIST-JOINT. Disease of the wrist-] oint is very uncommon in a total of 3105 cases of tuberculous disease treated in theout-patient department of the Hospital for Kuptured and Crip-pled during a period of five years, 98 were of the upper ex-tremity, and in but 4 of these was the wrist-joint involved. Of43 cases in which the joint was resected by Oilier, the youngestpatient was thirteen years of age. Of 990 cases of disease of the joints in childhood, reported by Karewski, the wrist was involved in 31.^ iln 38 final results of non-operative treatment. reported by Sever goodmotion was retained in 12. In 16 anchylosis was present. (Locus cit.)^ Chir. Krank. des Kindersalters, Berlin, 1894. 490 OBTHOPEDIC SUFGEEY. Disease of the wrist in older subjects is less infrequent,althoiigli at all ag
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