A study of the anatomy and the clinical importance of the sacro-iliac joint / Fred H. Albee.

  • Albee, Fred H. (Fred Houdlett), 1876-1945.
Date:
1909
Catalogue details

Licence: In copyright

Credit: A study of the anatomy and the clinical importance of the sacro-iliac joint / Fred H. Albee. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    STUDY OF THE AXATOMY AYD THE CLTY- ICx4.L IMPOETAYCE OF THE SACEO- ILIAC JOIYT^ FRED H. ALBEE, M.D. Instructor in Orthopedic Surgery, College of Physicians and Sur- geons and Post-Graduate Medical School and Hospital: Visiting Surgeon, Homes for Crippled Children, Hawthorne. NEW YORK Some time ago the writer was much surprised, on reading the literature of the minute anatom} of the sacro-iliac joint or s}mchondrosis^ to find snch a marked disagreement among the prominent anatomists and gyne- cologists. To quote in brief from some of them : Morris holds that even the presence of synovial membrane is not constant, sitting that it is more apt to be present in the female. Lnschka believes that a small amount of syno- vial membrane is always present and tliat it increases in size at times of pregnancy. Cnnhingham states that the synovial cavity is imperfect and rudimentary, hut lielieves that hyaline articular cartilage exists usually. Testut, the great Frencli anatomist, mentions certain folds of synovial membrane which occur here and there, filling up gaps or margins of the fibrocartilage. Morris denies that there is any appreciable movement at this synchondrosis. Williams (in 1903) states that ^The articulation between ilium and sacrum is described as a synchondrosis, but is really a joint, on account of the presence always of more or less synovial membrane.’’ Ivuttner asserts that it is a joint with motion and that the horizontal position increases the true conjugate diameter of the pelvis by 6 mm. and Walcher’s position by 9 mm., as compared with the lithotomy position. * Read in the Section on Obstetrics and Diseases of Women of the American Medical Association, at the Sixtieth Annual Session, held at Atlantic City, .Tune, 1909. * From the anatomic laboratory of Cornell University Medical College.