A treatise on orthopedic surgery (1903) (14578274937)
Zusammenfassung
Identifier: treatiseonorth00whit (find matches)
Title: A treatise on orthopedic surgery
Year: 1903 (1900s)
Authors: Whitman, Royal, 1857-
Subjects:
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress
Text Appearing Before Image:
The divisions of the spine. Divisions of the Spine. Although the spine is a flexible column whose outline changeswith every movement and posture, yet the range and char-acter of this motion vary greatly in different parts. In the cer-vical and lumbar regions motion is extensive, because of therelatively large proportion of elastic intervertebral substance,because of the direction of the articular surfaces, and becausethe centre of motion is near the middle of the body. Motion isvery limited in the thoracic region, because the intervertebraldisks are thin, because of the overlapping spinous processes, andbecause it forms a part of the rigid thorax. Where free motionis essential to the habitual attitudes, interference with normal TUBERCULOUS DISEASE OF THE SPINE. 33 motion and the other attendant symptoms of disease will beapparent earliest. Thus one more often has the opportunity for
Text Appearing After Image:
***<*».. Xnflary^lK phr* rywm v Cross-section of the body of a child at the third dorsal vertebra. (Dwight.) early diagnosis in disease of the lumbar and cervical regions,b eanse in the one the motions necessary in stooping, sitting, and 3 34 nimiOFEDIC SURGERY. standing arc constrained, and in the other the neck is stiff, or thehead is turned, or drawn from the normal line. In the thoracicregion early diagnosis is less often made, because in this sectionmotion is SO unimportant that its restraint may escape the atten-tion of the patient or parent. In considering diagnosis, therefore,and, in fact, treatment and prognosis, one should divide the spineinto three sections to cDrrespond with function : 1. The neck part, that allows free motion of the head, endingat the third dorsal vertebra. 2. The rigid thoracic part, which includes the third and thetenth dorsal vertebra. 3. The lower part, made up of the two lower dorsal and thelumbar vertebrae, in which the principal movements of th