A treatise on orthopedic surgery . sthe upper dorsal region. The anterior shoulder brace and itsattachment. rights reach to the root of the neck, or to about the level of thesecond dorsal vertebra; from this point two short arms of metalproject forward and outward on either side of the neck, reachingto about the middle of the clavicles. To these, padded shoulderstraps are attached, which pass through the axillae to a crossbaron the back brace; thus downward pressure on the shoulders isavoided and increased leverage is assured (Fig. 62). Opposite the area of disease two strips of thin steel abo
A treatise on orthopedic surgery . sthe upper dorsal region. The anterior shoulder brace and itsattachment. rights reach to the root of the neck, or to about the level of thesecond dorsal vertebra; from this point two short arms of metalproject forward and outward on either side of the neck, reachingto about the middle of the clavicles. To these, padded shoulderstraps are attached, which pass through the axillae to a crossbaron the back brace; thus downward pressure on the shoulders isavoided and increased leverage is assured (Fig. 62). Opposite the area of disease two strips of thin steel aboutthree inches in length are fixed ; these are slightly wider than theuprights and are perforated for the attachment of the pressure f ^ TUBERCULOUS DISEASE OF TEE SPINE. 95 pads, which may be made of layers of canton flannel or felt, orunyielding material, such as leather or hard rubber, may be usedinstead. The pads should project from a quarter to a half-inchin front of the uprights in order that firm and constant pres- FiG. The Taylor brace and head support applied for disease of the upper dorsal region. sure, to the extent that the skin will tolerate, may be made atthe seat of disease (Fig. 58). In measuring for this brace the patient is placed in the proneposture and a tracing of the outline of the back is made bymeans of the lead tape. T]^is outline may be cut in cardboardand fitted to the back; in fact, if the mechanic is unfamiliarwith the work, each part of the brace, uprights, pelvic band, etc.,may be cut in cardboard and attached to one another to serveas a model. Before the brace is finished it should be applied tothe back and should be adjusted carefully by means of wrenches. 96 OBTHOPEDIC JSUBGEBT. The pelvic band and the parts that come into direct contact withthe skin are usually covered with leather, or, in the treatmentof young chidren, with rubber plaster and canton flannel toprevent rusting. If the brace is applied before the stage of deformity it shoul
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