Selected monographs.

  • New Sydenham Society.
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Selected monographs. 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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    TKi/rd Strashurg Case. On page 53 of my earliest work I said* : Experience has not taught rne that I undertake too much in promising to recognise any woman with a spondyl-olisthetic pelvis among the throng in the street. The peculiar appearance of such persons has become still more familiar to me since I wrote this. It was on the 7th October of last year that Dr. Swedelin, of St. Petersburg, and I met in Strasburg in one of the streets by the Minster a woman in the costume of Alsace, whose external appearance was so striking that I looked at her more carefully. Both the manner in which she held her body, and her mode of progression, were those of spondylolisthesis lumbo-sacralis. When I had learnt, through a third person, that she suffered from sacral pain, had been delivered by forceps, &c, &c, I soon got the good woman to come to the Gyntecological Clinique, where I could justify the accuracy of my presumptive diagnosis to my friend. In it Doctors Freund, Haeckel, and Swedelin completely concurred, and the following representations should remove any doubt of it:— Measurements— Height 1540 cm. Distance between the iliac crests 320 „ ., „ great trochanters 31*0 ;, „ anterior superior spines 28 0 ., „ posterior „ 95 „ „ S angles of the iliac crests 14-0 „ tubers of the ischia 0-7 ., Conjugate diameter, external 18'0 „ „ „ normal 13'5 „ „ of the cavity 10 0 „ „ „ of the outlet.... 7o ., (J „ to angle of dislocation 12 0 ,, n j, to most prominent part of the lumbar vertebra; ? j; fj false about 9'5 cm. to 10 0 „ The pelvis was slightly unsymmetrical from scoliosis. A simply unilateral olisthesis could not be certainly made out. While the lordotic lumbo-sacral groove was very deep, on account of the thickness of the integument, and the plentiful develop- ment of subcutaneous adipose tissue could be but very indis- * Zur EnlwicJcelungsgcschichte des Spondylolisthetischen Beckens und seiner Diagnose (mit Bei iickeichtigung vom Korperhaltung und Gangspur), mit 97 Holtz!chuitten im Texte Halle und Dorpat, 1882. » ij