On the Treatment of Spinal Curvatures by Extension and Jacket; With Remarks on Some Affections of the Hip, Knee, and Ankle Joints

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1884 Excerpt: ...of the joint. First, touching the pathological question as to the purely constitutional origin of the disease, at the International Medical Congress in Philadelphia, 1876, an animated debate occurred on a paper read by Dr. Sayre. In this debate some eminent British and American surgeons took part, notably Mr. Lister, Dr. Agnew, Dr. Gross, and Mr. William Adams; the debate arising from the view strongly advocated by Dr. Sayre, that morbus coxarius was a disease which always had a traumatic origin, and he then combated the view of a strictly constitutional origin of the disease. Dr. Sayre's opinion may be gathered from these expressions used by him in that discussion: --" Until within a very few years, every author taught that the disease was necessarily connected with a strumous condition of the system, and could not exist without it; and that it was, therefore, necessarily, of constitutional origin, and never occurred in the robust and healthy. This doctrine I believe to be incorrect; in fact, by a careful examination of my recorded notes of many hundreds of cases of morbus coxarius, I find that by far the larger number occur in children of perfect health and born of healthy ancestry; and the simple reason is that children of this class are more active and daring, and, therefore, more exposed to accidents and injuries than sickly strumous children, who seldom have energy enough to expose themselves to any danger. But even the strumous constitution requires some local injury to the part itself in order to develop the disease; and therefore, I am inclined to regard the disease as almost always, if not always, of traumatic origin. Of course, the sickly strumous child, having less recuperative power and vital force to resist disease, will have it developed ...

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