An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . s in cut-ting the contractured muscles. In the vast majorityof cases the sterno-cleido-mastoid is the only one re-quiring an operation. This muscle may be cut eitherby tenotomy or through an open incision. Withproper antiseptic precautions the latter is preferable,because the former has been followed by serious haem-orrhage. After the operation th
An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . s in cut-ting the contractured muscles. In the vast majorityof cases the sterno-cleido-mastoid is the only one re-quiring an operation. This muscle may be cut eitherby tenotomy or through an open incision. Withproper antiseptic precautions the latter is preferable,because the former has been followed by serious haem-orrhage. After the operation the head must be forced intoan over-corrected position and held there by a plas-ter-of-Paris dressing or some other appliance. The most convenient way to hold the head in theover-corrected position is by means of a plaster castover the head and extending well down over theshoulders. This dressing should be worn for fromtwo to six weeks, according to the severity of the case. In mild cases thiswill end the treatment, but in severe or very chronic cases this same or somemore elegant support must be worn until all tendency to relapse has disap-peared. What is known among instrument-makers as Markoes wry-neckbrace is a very good apparatus (Fig. 2).. Markoes brace for torti-collis. Lateral Curvature of the Spine, or Scoliosis. Scoliosis is a deformity of the spine characterized by a lateral is very uncommon in early childhood, occurring most frequently betweenthe ages of eight and fifteen. It is rarely congenital, most of the earlycurvatures of the spine being of rachitic origin. The curve is usually inthe upper dorsal region and toward the right side (Fig- 3). Btiolog-y.—The causes of lateral curvature are not well understood. Noinflammation or other pathological condition is known to belong to thisdeformity. In old cases the shape of the bodies of the vertebra is changedby pressure. In severe cases the worst part of the deformity is due to arotation of the vertebrae u
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