A treatise on orthopedic surgery . ulais in contact with the occiput, as is indicated by the deep fold; age of thepatient three months. to the Spine while its upper border projecting and bent forwardabove the clavicle has in several instances been mistaken for anexostosis (Fig. 173 j. The cervical muscles passing to the scap-ula are shortened and changed in direction and in about 25 percent, of the cases the median border of the scapula is attachedto one of the lower cervical vertebrse by a bony prolongationwhich may be an outgrowth from a transverse process or jointedat either extremitv. Thus
A treatise on orthopedic surgery . ulais in contact with the occiput, as is indicated by the deep fold; age of thepatient three months. to the Spine while its upper border projecting and bent forwardabove the clavicle has in several instances been mistaken for anexostosis (Fig. 173 j. The cervical muscles passing to the scap-ula are shortened and changed in direction and in about 25 percent, of the cases the median border of the scapula is attachedto one of the lower cervical vertebrse by a bony prolongationwhich may be an outgrowth from a transverse process or jointedat either extremitv. Thus, its mobilitv is lessened and the DEFORMITIES OF THE SPINE. 231 range of vertical extension of the arm is restricted. The de-formity may be combined with torticollis or with cervical ribsor defective formation of the spine, for example, absence ofvertebrEe or rhachischisis. In many instances there is an accom-panying lateral cnrvature of the spine, the convexity beingnsuallv toward the deformed side. ISTinety-nine cases have been. Congenital elevation of the scapular of a moderate degree in adolescence. collected from literature recently by Zesas.^ Forty-seven wereof the right side, thirty-six of the left, and in eleven bothscapnlse were elevated. Of eighty-two cases forty-eight werein males. The most recent and complete review of the subjectis by A. E. Horwitz^ of 136 cases. Scoliosis was present in 47per cent., torticollis in 10 per cent., and asymmetry of the skulland face without torticollis in 11 per cent. In 67 per cent, therewas some accompanying defect in formation. Zeits. f. Ortli. Chir., Band xv., Heft 1, 1905. ==Am. J. Orth. Surg., Vol. 6, 1909, No. 2. ^The deformity was first described by Eulenburg (Archiv f. klin. Chir.,1868), but in more detail by Sprengel (Centralbl. f. Chir., 1895), whoreported four cases in children from one to seven years of age. 232 OETHOPEDIC SrSGEET. Etiology.—Tlie etiology is doubtful, but iu many instances itaj)pears to be the result o
Size: 1232px × 2028px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
