Practical inferences from clinical observations in lateral curvature of the spine / by A.B. Judson.

  • Judson, Adoniram Brown, 1837-1916.
Date:
[1896]
Catalogue details

Licence: Public Domain Mark

Credit: Practical inferences from clinical observations in lateral curvature of the spine / by A.B. Judson. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    OF THE SPINEL By a. B. JUDSON, M.D., OF NEW YORK; ORTHOPEDIC SURGEON TO THE OUT-PATIENT DEPARTMENT OF THE NEW YORK HOSPITAL. In a majority of the patients affected with lateral curvature of the spine it becomes evident at the very first examination that the curvature and rotation are diminished when the weight of the upper part of the body is removed from the verte- bral column. This weight may be removed by causing the patient to lie down or to suspend the body by the hands. When the patient is hang- ing from an overhead bar the deformity largely or entirely disappears. The curved line of the spinous processes partly straightens itself, and the lateral prominences, caused by rotation, partly subside; and when the patient releases the bar these elements of deformity reappear. These changes occur with the repeated use of the bar in a sudden and striking manner. They are also seen when the patient alternates between standing and recumbency. If the patient lies prone the spinous processes arrange themselves in a comparatively straight line, and the shoulders and hips approach symmetry. But when the erect position is resumed deformity returns in full force. Doubtless the same alternations oc- ' Presented at the Tenth Session of the American Orthopedic Association at Buffalo, N. Y., May, 1S96.