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O.C.—Age 14 ; was admitted on 10.12.34 with an old fracture of the right elbow and considerable
limitation of movement in the joint due to new bone formation at the tip of the olecranon
(the point of the elbow). The new bone was removed by operation but no immediate improvement in
the range of movement was noted. However, it is quite possible that with appropriate after-treatment
the range of extension will increase. The child was discharged to the Clinic for treatment on
15.1.35.
L.B.-—Age 5; was admitted for investigation on 10.8.34. In January, 1934, she sustained a
fracture of the right elbow which was treated elsewhere, and resulted in a lateral angulation of the
joint. X-ray examination showed that the deformity was likely to increase in spite of operative
correction. We decided therefore to postpone operation until the degree of angulation had become
maximal. The child was discharged on 22.8.34 and is now attending the Clinic for regular inspection.
R.L.—Age 7; was admitted for investigation on 12.7.34. In August, 1933, his skull was
fractured and a large piece of the vault was lost. Consequently there was a gap in the cranium
about 2 ins. in diameter. In view of his age it was considered inadvisable to attempt to close the gap
by bone grafting. A protective metal cap was supplied and he was discharged on 3.8.34. The
question of operation will be reconsidered in about three years time.
M.Y.—Age 7 days ; was admitted on 23.2.34 with a birth fracture of the right humerus and
paralysis of the musculo-spiral nerve. This combination of injuries is extremely rare, and this is the
first example of the condition that we have encountered. The mother was admitted at the same time,
so that the nursing of the child should not be interrupted. The arm was dealt with appropriately and
the fracture joined in 12 days. By this time the paralysis was beginning to clear up, and the mother
and child were discharged on 9.3.34. Since then, the arm has become perfectly normal.
R.A.—Age 9; was admitted on 20.7.34, with a congenital club foot. He had been under
treatment at Great Portland Street since birth, but the deformity had resisted treatment by manipulation.
Two operations were performed with considerable improvement in the position of the foot,
but a little residual deformity still remains. The final stage of the treatment must be deferred for
a few years, as the boy is too young for the necessary bone operation. He was discharged on 28.12.34.
R.H.—Age 11; was admitted on 25.7.34 with 2½ ins. of knock knee. The deformity was
corrected by a bone operation and the result has been most satisfactory. He was discharged on
6.11.34, and is attending the Clinic regularly.
A.S.—Age 4|; was a similar case. She was admitted on 23.4.34 and discharged on 10.8.34.
D.G.—Age 14 ; was admitted on 17.9.34 with persistent pain in the back. Although there was
considerable deformity of the spine we could find no sign of organic disease. The outlook is therefore
good, and it should be possible to correct her deformity by regular exercises and a frame to sleep on
at night. The frame has been supplied and the girl is now attending the Clinic for treatment. She
was discharged on 12.10.34.
K.B.—Age 13; was admitted on 15.11.34 for operative correction of a hammer toe. She was
discharged on 10.12.34.
G.W.—Age 8; was admitted on 13.3.34 with stiffness of the neck following acute rheumatism.
We suspected a partial dislocation, but the X-ray showed a normal spine. Shortly after admission
the stiffness began to disappear, and the final conlusion was that it had been caused by enlargement
of the glands in the neck secondary to infection of the tonsils. The boy was discharged on 24.4.34,
with a request that the tonsils might be removed at a later date.
K.M.—Age 5; was admitted on 1.1.34 with congenital spastic paralysis. Owing to shortening
of the achilles tendons the child was unable to get her heels to the ground. The tendons were lengthened
by open operation and the child was discharged very much improved on 24.4.34.
B.W.—Age 4 ; was a similar case. She was admitted on 16.2.34, and discharged on 18.5.34.
K.G.—Age 11; admitted on 3.9.34 with old infantile paralysis, which had given him a flail
right foot. An operation was performed to make the foot stable and the child was discharged in
plaster on 12.10.34. The plaster has since been removed and he is now walking well.
G.G.—Age 10; was admitted on 29.1.34 with old infantile paralysis which had affected both
feet. Stabilising operations were performed, and the boy was discharged in plaster on 23.3.34. He
was readmitted in June for removal of the plasters and his subsequent progress has been most satisfactory.
J.B.—Age 10; was admitted on 6.12.33 with a similar disability. Operations were performed
on both feet and he was finally discharged on 11/6/34.