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.

    7/20 (page 23)
    litis is tenderness on pressure over the point oj disease. There is no lack of knowledge as to the pathological anatomy ; it is perfectly well known that the lesion is confined to the vertebral bodies, and usually lo their anterior portions. It is therefore quite impossible that there should be tender- ness on pressure over the spinous or transverse processes. Unless, then, there be disease of the processes or laminte, an exceedingly rare condition ; or unless an abscess, which w'ill not be readily detected by palpation, be present, tender- ness on pressure will not be found in spondylitis. In a doubt- ful case its presence must count as an important symptom against true spondylitis. Fio. 4.—Showing rigidity of lower dorsal and upper lumbar vertebra without angular deformity. Downward pressure and concussion on the head, and sudden twisting of the spine, by wrenching at the shoulders when the patient is off his guard, are tests as unnecessary a s