On the Nature and Treatment of the Deformities of the Human Frame: Being a course of Lectures delivered at the Royal Orthopedic Hospital in 1843 : With numerous Notes and Additions / to the present time.

Little, William John

Date d'édition : 1853

A propos de cet article

London : Longman, Brown, green, and Longmans, 1853, 8°, X, (2), 412 pp., Illustrated by upwards of 160 Engravings and Diagrams; (2), 24 pp. Publisher Cat.; original rebacked cloth; fine copy. First Edition! "In 1843-the following Lectures were published in the Lancet, which, as a contribution to the increasing desire of the profession to become practically acquainted with the pathology one the deformities, the author regarded as a second edition of the treatise above mentioned (On the nature of club-foot and analogous distortions. London: Jeffs, 1839). The desire to secure for theses Lectures a more permanent position in medical literature, and to take the date, as it were, for whatever of useful or original they may contain, has introduced the author to republish them, and to interweave the results of ten years' additional experience. The Lectures are therefore reprinted with only verbal alterations, except where indicated.; the new matter introduced into the text is enclosed between brackets ; ant the notes, the whole which are new, appear at the bottom of the pages. In order to reduce the extent of the work, many observations which might advantageously have been placed in the text have been supplied in notes." Preface, J.W. Litlle. Contents. Deformities in Genera. Deformities from Wounds and Diseases of Joints, Accidents, Rheumatism, &c. Deformities from Spasm, Paralysis, Burns, Habitual Retention in one Position. Deformities from Rickets, Weakness, and Curvatures of Bones. Congenital Distortions, Club-Foot, Club-Hand, &c. Congenital Malformation, Monstrosities. Distortions of the Spine. Appendix. Index. John William Little (1810-1894) "was the first eminent orthopedic surgeon in the British Isles. He studied under Stromeyer and, in 1838, he founded the Orthopaedic Institution, now the (Royal) National Orthopaedic Hospital, London. The above work is an elaboration of lectures delivered in 1843. Early description of progressive muscular dystrophy (p. 14). Little's description of congenital cerebral spastic diplegia resulted in the condition being named "Little's disease" "His experience, both as a patient and a doctor, in particular in treating young children, resulted in a series of papers in which he described children suffering from spasticity and stiffness of extremities, deformities of upper and lower extremities, paresis and paralysis, Little compared the stiffness that his patients had to tetanus spasms. The connection between the above disorders and perinatal disorders became more and more clear to him, As his experience grew, Little classified children's disorders into groups. Of particular importance was the connection he made between bone, joint and muscle deformities and disorders of the neurological system. He associated these disorders with prematurity, difficult delivery, in particular forceps delivery, as well as perinatal asphyxia and tremors. Little was the first person to explain in detail the mechanism involved in muscle contractures, particularly spastic ones. Additionally, Little described cases of pseudohypertrophic muscular dystrophy [3] at around the same time as Edward Meryon and before the eponymous description of Guillaume Duchenne [5]. As a result of his observations and growing experience, Little became more and more aware that surgical treatment of cerebral palsy had its limitations. The initial fascination with tenotomies gave way to a much more cautious approach. This was caused by Little's observations that some treatment, corrective in theory, in fact impaired children's motor function. This was an exceptionally mature idea at the time when orthopaedics was going through the period of "post-operative disaster" [6], This knowledge was reflected in his major work on this topic based on the observations of over 200 patients. Little presented his main ideas in 1861 in a meeting of the Obstetrical Society of London. His views stirred a heated .

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Détails bibliographiques

• Titre: On the Nature and Treatment of the Deformities of the Human Frame: Being a course of Lectures delivered at the Royal Orthopedic Hospital in 1843 : With numerous Notes and Additions / to the present time.
• Date de parution: 1853
• Reliure: Couverture rigide
• Catalogues du vendeur:
  • Neuroscience