Lectures on orthopedic surgery . ease. More often than otherwisethe upper two or three vertebrse are diseased, and thehead is twisted and bent forward and to one side intothe position of wry-neck; one or both sterno-mastoidmuscles are rigidly prominent, and often the posteriormuscles as well. When the disease is lower, the chinis advanced and dropped towards the chest and anangular projection of the spine at the point of diseasemay be felt; when the disease is still lower, the chin iselevated and relatively somewhat advanced, and thehead is thrown backward towards the shoulders, whichare raise
Lectures on orthopedic surgery . ease. More often than otherwisethe upper two or three vertebrse are diseased, and thehead is twisted and bent forward and to one side intothe position of wry-neck; one or both sterno-mastoidmuscles are rigidly prominent, and often the posteriormuscles as well. When the disease is lower, the chinis advanced and dropped towards the chest and anangular projection of the spine at the point of diseasemay be felt; when the disease is still lower, the chin iselevated and relatively somewhat advanced, and thehead is thrown backward towards the shoulders, whichare raised to meet it. At times the posterior musclesare so much contracted that they simulate an face expresses apprehension and the head is moved,if the patient can move it at all, with anxious may be complained of running up the back of the 27 neck and head, down the arms, or in the chest. Inearly cases the deformity, and in fact all of the symp-toms, are considerably relieved by even a short periodof Fig. 9.—An old case of tubercular spondylitis, with posterior, lateral androtary deformity. 28 For the proper examination of a case of suspectedcervical spondylitis, the patient should be stripped tothe waist. The attitude and the range of active motionshould be noted; the range of passive motion shouldbe tested, and the neck should be palpated for kyphosisand for a Huctuatino; swellinir. If the ranue of motion
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectorthopedics, bookyear
