A treatise on orthopedic surgery (1903) (14578143120)

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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ex ... 87 Child • 90 Adult 72 Treatment. The treatment of the so-called flat chest is similarto that of the round shoulders with which it is often combined—thai is, by exercises conducted with the special object of improv-ing the strength of the muscles of the back and increasing theexpansion of the upper part of the chest. The importance ofcorrecting the deformity, which interferes with the proper expan-mmii of the Lungs and thus predisposes to disease, should beevident 1 Journal American Medical Association, September 11, 1897. DEFORMITIES OF THE CHEST. 231 Pigeon Chest. Synonym. Pectus carinatum. The pigeon, or keel-shaped, chest resembles the quadrupedaltype in that the anteroposterior is increased at the expense of thelateral diameter. The sternum is thrust forward and downwardlike the keel of a boat, the lateral compression being most markedat the junction of the ribs and the cartilages. This deformity isalmost always acquired (Fig. 153); it is usually an effect of Fig. 153.
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General rhachitic distortions and pigeon chest. rhachitis, and it is described under that heading. It may beinduced by obstruction of respiration caused by enlarged tonsilsand the like, if this is present at an early age. It may be asecondary effect of the sinking forward and downward of theupper half of the trunk, as in Potts disease of the middle of thespine. Treatment. The treatment of secondary deformity would beincluded in the treatment of the afiV-tion of which it is the result. 132 irniori:i)ic surgery. Manipulation, massage, and breathing exercises may he employedin the treatment of simple pigeon chest. The tendency is towardspontaneous cure ; it is rarely Been in adult life. The Funnel Chest. Synonym. Pectus excavatum. This deformity (Fig. 1 o4) is the reverse of the pigeon chest.The sternum is depressed and the lateral diameter of the thoraxis correspondingly increased. The milder types of the affectionin which there are one or more depressions or hollows in the Fig.