File:Cleveland medical gazette (1899) (14781909234).jpg

Identifier: clevelandmedical1518unse (find matches)
Title: Cleveland medical gazette
Year: 1900 (1900s)
Authors:
Subjects: Medicine
Publisher: Cleveland OH : William W. Williams
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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child was again brought to me, and the plasterremoved. The limb was found to be firmly in place with a short-ening between zero and \ of an inch. The limb was again put upin plaster in a somewhat less abducted position. Measurementsdemonstrated the limb to be in place. March 2nd I again saw the patient, and re-applied a plasterspica, bringing the leg still further down towards the normal po-sition, the head of the fermur still remaining in place. May 3rd, 1899, the child was again brought to my office, andthe plaster removed, and the child measured for a pelvic braceshown in cut I, While Lorenz, the author of the operation, does not apply aprotective brace after removing the plaster spica, yet in this caseI was led to do so from the fact that already the hip-joint hadbeen dislocated from lack of protection while walking after anapparent cure; and furthermore the parents were unwilling toagain take any risks whatever, and preferred some apparatus tothe further use of plaster of paris.
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Cut III. WiRT: Congenital Dislocatio7i of the Hip. 301 In cut I, A is the pelvic band; B is the perineal band of steelcovered with a chamois; C is the pressure pad, cupped or hol-lowed out, well padded and regulated to press downward and in-ward against the trochanter major; D is the screw head which byturning forces the pad C against the trochanter; E is the sus-pender which prevents the left end of the pelvic band from beingforced downward. The pads marked F are two hernia pads, thepatient wearing this brace being so unfortunate as to have doubleoblique inguinal hernia. In planning this brace I figured that the fulcrum of actionin this brace would be at B, or rather the lowest part of the per-ineal ring, and that in forcing the pressure pad C downward, thereaction on C transmitted to the right end of the pelvic bandwould be upward. This would necessarily force the other enddownward, and so I had the suspender attached to the left. Itproved in practice that my conjecture was right, f

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