A Post-Graduate Lecture ON NEUROTIC DYSPEPSIA: Delivered at the London School of Clinical Medicine
Year: 1911
Type: article
Abstract: NEUROTIC-DYSPEPSIAj|DEC-9, itli.15 of the lhand are inactive, there is no object in an artlirodesis of tlhe shoulder.I performi the operation by the anterior incisionl comiimonly, used for excision of the slioulder-joint.The lIlilierusshould be fixed iin abductioil and internal rotation :6 that th6-hand can bhe brought to the moutlh.It is very i'are for mne to perform artlhrodesis of tlhe knee.It is an operation whiclh, if not performed early, gives an admirably firm limb, and I have patients who go about their work contentedly, witla a stiff knee and ankle; others, lhowever, regret the day onl which they consented to this- operation.This regret is m-erely due to inconvenience.T'he limb, they say, is ilways in the way and in evidence.Wlhere money permits, a lock calliper fills every indication, anud can be used for walkiing in extension or sitting in flexion.Arthlrodesis, in my opinion, is quite unsuitable for hiip, wrvist, or elbow.At the elbow because the removal of skin and fixation of forearm at an acute angle does whlat is desired.At the wrist 'the usefulness of the fingers dlepends on the presenec of -some degree of co-ordinationof limovemelnt, whichmieafis that botlh extensors and flexors mllust be acting and controlling eachl other.If there be power in the muscles the lhand can always be miiade useful b)y means other than artlhrodesis, and, of course, if the hand is useless the wrist should be left alolnc. VI. Tr((isplantation of NCeres.No discussion of the sturgery of paralysis wouild be com- 1)lete at tlle present day witlhout some refeorence to the
Source: BMJ
Author: G. Rankin
Language: English
Subfield: Psychiatry and Mental health
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2058172421