Spondylitis, its symptoms and diagnosis / by Robert Jones and John Ridlon.

  • Jones, Robert, 1857-1933.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Spondylitis, its symptoms and diagnosis / by Robert Jones and John Ridlon. 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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    up the diagnosis. Whilst pain is rarely associated with scoliosis, it is the rule in spondylitis, though it should not be forgotten that it may be absent in both. A careful circum- ferential outline of the chest may throw some light on the subject: in spondy- litis it should be practically symmetrical; in scoliosis it very early becomes asym- metrical, bulging posteriorly on the side of the con- vexity of the curve and flattened posteriorly on the side of the concavity, whilst in front the condi- tions are reversed. Torticollis is closely simu- Fig. 17.—Rickety spine. lated at the first glance by spondylitis of the upper cervical region. Still in many cases the diagnosis can be made almost at sight. In wry- Fig. 18.—Chin pointinjj from prominent sterno-mastoid in torticollis. Fig. 19.—Chin pointing towards prominent muscle in spondy- litis. neck the chin points away from the prominent sterno- mastoid muscle (fig. 18); in spondylitis it points towards that muscle (fig 19), if only one sterno-mastoid be prominent. In spondylitis the movements of the head are restricted in