A treatise on orthopedic surgery . Marked lateral deviation ofthe spine with rotation. De-formity at the eighth dorsalvertebra. TUBEBCULOUS DISEASE OF THE SPINE. 55 sis of Potts disease and its differential diagnosis are consideredin more detail elsewhere. Abscess as a complication of disease of the thoracic regioncannot be demonstrated by palpation unless it has found anoutlet between the ribs, but percussion will often show an areaof dulness or flatness extending from the diseased vertebraetoward the lateral aspect of the chest. This is due in part. Fig. Double psoas contraction of an e
A treatise on orthopedic surgery . Marked lateral deviation ofthe spine with rotation. De-formity at the eighth dorsalvertebra. TUBEBCULOUS DISEASE OF THE SPINE. 55 sis of Potts disease and its differential diagnosis are consideredin more detail elsewhere. Abscess as a complication of disease of the thoracic regioncannot be demonstrated by palpation unless it has found anoutlet between the ribs, but percussion will often show an areaof dulness or flatness extending from the diseased vertebraetoward the lateral aspect of the chest. This is due in part. Fig. Double psoas contraction of an extreme degree and paralysis. The arms used as supports. however, to the inflammatory thickening of the tissues in theneighborhood. In rare instances the abscess may press directlyupon the trachea or bronchi and cause spasmodic attacks ofdysi^noea resembling asthma. Diagnosis.—It is hardly necessary to mention the list of affec-tions that may cause pain in the chest or abdomen; it is suffi-cient to state that such symptoms always require a physicalexamination. The same statement applies to irregular respira-tion, to cough, and to so-called asthma. 56 OBTHOPEDIC SUBGEEY. Occasionally tubercnloTis disease of the thoracic section inadolescence is j)ractically painless, and the resulting deformityis rather rounded than angular, so that it may be mistaken forround shoulders. Round shoulders is, however, as a rule,of long duration. The exciting cause or causes of postural de-formity, in occupation or otherwise, are indicated often by thehistory. The rigidity
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