. Annals of surgery. eous subluxations of adolescence. Third. Radical treatment is only indicated for cosmeticpurposes. Symptoms must be controlled by palliative means. Fourth, Heredity, female sex, and occupations are pre-disposing factors to this disease. Treatment.—While sometimes osteotomy may be justifiablewhen the deformity is very great, yet it is not indicated exceptfor cosmetic effects and then it is questionable in its plaster casts, splints, etc., are useless. After about 236 A. C. STOKES. the age of twenty-five all symptomatology disappears. There-fore, palliativ


. Annals of surgery. eous subluxations of adolescence. Third. Radical treatment is only indicated for cosmeticpurposes. Symptoms must be controlled by palliative means. Fourth, Heredity, female sex, and occupations are pre-disposing factors to this disease. Treatment.—While sometimes osteotomy may be justifiablewhen the deformity is very great, yet it is not indicated exceptfor cosmetic effects and then it is questionable in its plaster casts, splints, etc., are useless. After about 236 A. C. STOKES. the age of twenty-five all symptomatology disappears. There-fore, palliative treatment is indicated up to that age, or to thedisappearance of the symptoms. The treatment must becounterirritation, rest, and overfeeding. Osteotomy may beused after the period of symptoms has passed. In our caseswe w^ere not ready to do anything and advised the wrists beinglet alone. Prognosis.—The prognosis is good as to life. The patientwill complain of some pain for several years upon exercise of Fig. $^^-


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885