Supplementary catalogue of the Pathological Museum of St. George's Hospital : a description of the specimens added during the years 1866-1881 / by Isambard Owen.

Date:
1882
Catalogue details

Licence: Public Domain Mark

Credit: Supplementary catalogue of the Pathological Museum of St. George's Hospital : a description of the specimens added during the years 1866-1881 / by Isambard Owen. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    4241-3. Curvatures of the Spiue. ^la,b,c. ]^Q reference. 4244. Deformity of the Hip, Simulating that of Disease of the 14^. Hip-Joint. Except that the muscles are not wasted, the deformity produced by hip-joint disease is exactly simulated. From a girl aged 13, a patient in the Hospital, with symptoms of hip-joint disease, which disappeared almost altogether under anti-hysterical treatment. Under ether, it was found that the joint could be moved freely. Surgical Cases. 1877. Nos. 313, 1370. Presented hy Mr. Winterbottom. 4245. Extensive Spasmodic Lateral Curvature of the Spine, 72^- with Peculiar Contractions, and Deformity of the Limbs. The complete cast of a woman, aged 25. Examining, first, the spine, it is found to possess a very acute lateral curvature, affecting the whole of the dorsal region; the upper portion of the spine being bent considerably to the right side, and at the same time rotated outwards and backwards, so that the inferior angle of the scapula is approximated very considerably to the right sacro-iliac joint. In consequence of this peculiar deformity of the spine, the cast rests, when placed on a flat plane, on the left buttock and right shoulder, whilst the loins form an arch raised at least six inches from the bed, as in opis- thotonos ; at the same time the lower ribs of the right side overlap considerably the crest of the ilium, so much so, in fact, that the lowest point of the ribs is scarcely two inches from the great trochanter. The right side of the chest is extremely compressed from before backwards, measuring at the lower part certainly not more than three inches in an antero-posterior direction. The viscera con- tained in the thorax have evidently been pushed over to the right side, as there is considerable bulging of the chest below the nipple on this side. The head is drawn slightly forwards and to the left side, the left sterno- mastoid being extremely prominent. The pelvis is very oblique, the right anterior superior spinous process of the ilium being nearly on the same level with the lowermost ribs on the left side. The left upper extremity is thrown forwards and outwards from the chest, the forearm is flexed at a right angle with the arm, the hand is thrown backwards on the forearm by the extensor muscles, and the fingers are flexed upon the thumb, which lies across the palm. The right arm is thrown backwards from the
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