Pediatrics. . Fig. 48. PEDIATRICS. 3°7 ing later than usual, and in early cases it is possible, by meansof traction applied, as if the case were one of hip-disease, torelieve the deformity. In cases which have advanced to such acondition that the bone is no longer flexible, deformity canonly be relieved by an osteotomy. You will notice that thereis a very slight commencing lateral curvature, with a projectionof the right scapula, in this case, showing the presence ofrickets in various portions of the Fig. 49. Knee-joint Disease.—The next picture (Fig. 52) showsthe position of the knee i
Pediatrics. . Fig. 48. PEDIATRICS. 3°7 ing later than usual, and in early cases it is possible, by meansof traction applied, as if the case were one of hip-disease, torelieve the deformity. In cases which have advanced to such acondition that the bone is no longer flexible, deformity canonly be relieved by an osteotomy. You will notice that thereis a very slight commencing lateral curvature, with a projectionof the right scapula, in this case, showing the presence ofrickets in various portions of the Fig. 49. Knee-joint Disease.—The next picture (Fig. 52) showsthe position of the knee in characteristic inflammation of thatjoint, and is absolutely typical of every case of tubercularknee-joint which has been allowed to progress for anylength of time without treatment. The leg is flexedupon the thigh, the toe is everted, the tibia is slightly sublux-ated backward,and the patella is unduly prominent. A hun- 3o8 PEDIATRICS. dred cases of old knee-joint disease, taken in succession, wouldlook almost as if they were but casts from the same model. Inconsequence of the flexion of the knee-joint the heel does nottouch the floor, but the patient rests upon the toes. Paralyses.—Man) of the most extraordinary deformitieswhich come to the orthopedic surgeon are the result of par-alysis of one form or another, and I have brought a few pic-tures of some of the more striking examples of this kind which1 have met. This little boy (Fig. 53) had a severe attack of diphtheria,with complete paralys
Size: 1281px × 1951px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubject, booksubjectchildren
