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

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of the spine apparently induced by weakness incidental to illness. tion of the normal curves of the spine—the hollow roundback. In other instances there is a general forward droop ofthe trunk in which the lumbar lordosis may be lessened ; tin-form is more common in childhood—the round back. The forms of kyphosis that arc the dired result of dighave been described elsewhere. Postural kyphosis—roundshoulders—is one of the common deformities, and in childhood 15 22(i ORTHOPEDIC srilOERY. iimilar to that of lateral curvature, of which itmay be a predisposing cause. Round shoulders and the accom-panying Hat chest may he induced also by obstructions in therespiratory passages, such as enlarged tonsils, adenoids, and thelike, or by bronchitis or heart disease. Another predisposingcause is clothing that prevents the full expansion of the chestand the extension of the anus, and even the weight of clothingsuspended from the shoulders may be a factor in the etiology. Fig. 149. Fig. 150.
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sea for the correction of posterior curvatures of the spine. (Hofta.) These and other possible contributing causes should be investi-gated in all cases of this type. A marked type f deformity is sometimes seen in adolescents(Fig. 7),, Induced apparently by posture and by overwork,although in mosl instances it maybe assumed that a slighterdeformity of long -t;in<linLr serves as a predisposing cause. Inihi- type the deformity is resistant, and there is, as a rule, painnr discomfort mosl marked in the lumbar region. DEFOBJIITIES OF THE SPIXE. 227 Treatment. The treatment is similar to that of lateral curva-ture. The assumption of the military attitude with the headerect, the chin depressed, the shoulders thrown back, the chestexpanded, and the abdomen retracted, should be encouraged.And those exercises that expand the chest aud that strengthenthe muscles of the upper part of the spine are especially impor-tant. (Such exercies are illustrated by Figs. 97, 98, 105, 106,111, 112,

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