Treatise on orthopedic surgery / by Edward H. Bradford and Robert W. Lovett.
- Bradford, Edward G. (Edward Green), 1848-1928.
- Date:
- 1905
Licence: In copyright
Credit: Treatise on orthopedic surgery / by Edward H. Bradford and Robert W. Lovett. Source: Wellcome Collection.
Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)
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![tions of the spine are more liable to attack than certain others, and that the regions most liable to the disease were those which were the most exposed to jars or increased pressure; and that the disease would be more frequent where the hinges of motion at the spinal column came, varying to a degree according to age and occupation, or where there was the greatest exposure to the effects of violent jars. Causation.—It may thus be assumed that the localizing cause of Pott's disease is jar or superincumbent pressure; the influential cause being that physical state which is incapable of resisting slight trauma, exposing the tissue probably to the invasion of the tubercle bacillus. Gibney, in an examination of 185 cases, found a hereditary tuber- culous taint in 76 per cent. In 45 per cent a weakened condition from previous sickness was ^^^^ acquired diathesis were found. Taylor, in 845 cases, found 53 per cent with a history of preceding trauma (Vulpius, in 810 cases, found the same percentage [53]); in 15 percent there was disease of the lungs in nearer or more distant relatives; in rg per cent so-called scrof- ula was asserted ; and in 34 per cent a sickly condition. Vulpius found a history of hereditary tuberculosis in 16 per cent of his 810 cases. found; and in 22 per cent both an inherited and an of only Moderate Severity Fig. 20.—Attitude Assumed by Children with Acute Pott's Disease, and in Other Cases Necessitated by Psoas Contraction. SYMPTOMS. Few affections have a clinical history which varies so widely and appears under such different guises as that of Pott's disease. The one](https://iiif.wellcomecollection.org/image/b21290805_0037.jp2/full/800%2C/0/default.jpg)