Orthopædia; or, A practical treatise on the aberrations of the human form.

  • Knight, James, 1810-1887.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: Orthopædia; or, A practical treatise on the aberrations of the human form. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

    354/418 (page 330)
    in the Institution for the Eelief of the Ruptured and Crii)pled, in eleven years, only four per cent failed in being relieved of the dis- ease ; some having limited motion, and others perfectly free joints; and of those having failed to be relieved under treatment in the institution, a few of them left us to receive other treatment, after having been a long time under our care Avithout permanent relief — at times being much relieved, and again relapsing, and of these we have had favorable report. The regime of the house having improved their health tending to their cure, even when subsequently under a less favorable condition than that which had contributed largely to their recuperative tendency, and final recovery. This establishes an important consideration with regard to hygienic influence upon this class of patients. The physical condition of the patient being improved, tends to the cure of the local disease when subsequently under more unfavorable circumstances, and no special medical treatment. TKEATMENT OF A]SrGHTLOSIS. Inflammation having seriously impaired the integrity of a joint, three conditions usually present: First — A weakened condition subject to relief from supporting bandages. Second— Fihro-celhdar AncJiylosis, limited motion in degree to that of the injury sustained from destructive inflammation, as that of thickening and induration of its fibrous capsule, or formation of fibroid bands within the joint, or in consequence of the cartilages and synovial membrane being in part or wholly removed, and their place supplied by a fibroid or fibro-cellular tissue, by which the articular ends are partially united. Muscular contraction often contributes most largely to the limiting of motion in the joint. In some instances the disuse of the joint tends to its becoming fixed in position. These several impairments of free motion in the joints are all favorable conditions to restoration from judicious treat- ment. TJiij-d — Osseous Anchylosis : This consists of the indurated osseous surfaces having coalesced into direct bony union, and is most common in the spine, hip, knee and elbow. The two first conditions of the partially anchylosed ioints will be considered, and the means of relief. When thus conditioned, there have been fibro-cellular deposits, or degeneration of the joint; and