. The practice of pediatrics. Fig. 132.—Bring forearms back as far as possible. SCOLIOSIS 789 in some cases the amount of rotation is so slight that it is not easily de-tected; in other cases the rotation is marked in comparison with theamount of lateral curvature. The treatment of curvatures resulting from such diseases as tuber-culosis or caries of the spine, rickets, etc., will not be considered, butonly the simple curvatures which occur in cases of general debility,muscular weakness, or are the result of faulty habits of posture, a shortleg, certain occupations, etc. Diagnosis.—In the trea
. The practice of pediatrics. Fig. 132.—Bring forearms back as far as possible. SCOLIOSIS 789 in some cases the amount of rotation is so slight that it is not easily de-tected; in other cases the rotation is marked in comparison with theamount of lateral curvature. The treatment of curvatures resulting from such diseases as tuber-culosis or caries of the spine, rickets, etc., will not be considered, butonly the simple curvatures which occur in cases of general debility,muscular weakness, or are the result of faulty habits of posture, a shortleg, certain occupations, etc. Diagnosis.—In the treatment of scoliosis, much depends upon acareful diagnosis. As far as possible all the etiologic factors should beascertained: the heredity, general constitution, and temperament ofthe patient; the general appearance, condition of skin, the musculature,its structure and tonicity, should be closely scrutinized. The patients. 133.—Movement may start from position of complete flexion or partial flexionwith body resting on seat of chair or on shorter stand or table. habits of posture while standing and sitting, especially when he is un-conscious of observation, should be studied carefully. Inquiry shouldbe made as to position during sleep, and if a school-child, concerning thedesk and chair, and position while writing, etc. For examination the back should be bared down to the level of thetrochanters, when the height of shoulders, height and prominence ofhips, position of the scapula? and their relation to the spine, the linesrunning from the tips of the ears to the tips of shoulders, and the posi-tion of arms as they hang at the sides, should all be noted. The posi-tion of the spine itself and its relation to points mentioned should alsobe closely observed when the patient is standing in his usual posture,and again when he is standing in his best possible position. The posi-tion of the spinous processes sh
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Keywords: ., bookcentury1900, bookdecade1910, bookid39002, booksubjectchildren
