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100
The report of the Surgeon, Mr. H. J. Seddon, gives
particulars of the cases treated at the Royal National
Orthopaedic Hospital as follows:—
"T.W., aged 10, was admitted on 25/5/33 with old tuberculosis
of the right hip. In spite of prolonged treatment elsewhere muscle
spasm and pain were still present and there was a definite tendency
for the hip to go into a deformed position. After preliminary
treatment designed to place the hip in a good position the joint was
fixed by a grafting operation. The boy has been in and out of
hospital twice for change of plaster and is still wearing a walking
plaster. He is making satisfactory progress.
M.B., age six, was admitted on 1/9/1933, with Perthe's disease
of the left hip (an inflammatory condition which generally leads to
severe deformity). Thanks to the vigilance of the School Medical
Service the diagnosis was made at an extremely early date and treatment
was commenced immediately. The result has been most
gratifying. The hip gradually returned to normal and the child was
discharged on 18/2/35 with a perfect joint.
" P.B., age 11, was admitted on 23/4/34, with a congenital
deformity of the left little toe for which amputation was performed.
She was discharged on 11/5/34.
G.R., age 14, had been under observation and treatment at the
Clinic for eighteen months on account of spinal curvature. We found
however that the curve was increasing in spite of treatment and she
was admitted on 8/6/34 for a grafting operation to prevent any further
increase in the deformity. The immediate result of the operation was
satisfactory and the girl was discharged on 16/11/34.
" D.S., age eight, was admitted on 4/7/34, with inflammation of
one of the bones in the right foot (Kohler's disease). He also had a
curious periodic distension of the abdomen which was investigated at
St. Bartholomew's Hospital. No organic lesion was found to account
for this and his subsequent progress has been satisfactory.
" B.M., age 11, was admitted on 2/8/34 with a recent fracture
just above the left wrist which had united in a bad position. The
deformity was corrected by operation and the child was discharged in
plaster on 5/9/34. His arm is now almost normal.
" J.W., age 10, was admitted on 7/9/34 with a deformity of the
left foot. An important tendon had been divided by a cut two and
half years previously. It was our intention to repair the tendon, but
we were prevented from doing this by an infection of the old scar.
We decided therefore to supply him with an instrument, and recent
examination shows that the foot is now responding rapidly to
treatment. He was discharged on 1/2/35.
" J.C., age 12, was admitted on 11/10/34 with bilateral hammer
toes. She was discharged on 7/12/34. Operative treatment may he
required later.
" B.S., age nine, was admitted on 18/2/34 for the removal of
bony projections on the heels. She was discharged on 15/3/35.
" An unusual feature of the work at the Bromley Orthopædic
Clinic is the number of cases sent up with fractures and other injuries
In my experience traumatic conditions are rarely dealt with at the