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17
The organisation of the department follows closely that employed at
other clinics working in conjunction with the Royal National Orthopaedic
Hospital. The actual cards and letters used are based on those in use
at Hendon, and we are grateful to Dr. A. Fairgrieve Adamson, Medical
Officer of Health for Hendon, for his generous help. Within a
remarkably short time the clerical staff and the masseuse had mastered
the organisation of the clinic, with the result that the work has been
carried out efficiently almost from the first.
A list of the conditions dealt with appears below. It is by no means
indicative of the extent of crippling conditions in the child population
of Tottenham. Many children with orthopaedic defects had already been
taken to the Prince of Wales's Hospital, Tottenham, or to the Hospital
for Sick Children, Great Ormond Street, or to the Royal National
Orthopaedic Hospital, Great Portland Street. In such cases parents were
informed that it was not necessary for them to bring their children to
the orthopaedic clinic, and at the same time the importance of regular
attendance at Hospital was emphasised. It is fairly certain that in the
course of time more and more orthopaedic cases will find their way to the
clinic, and the advantages of a unified service will become increasingly
apparent.
The forty-five children with postural defects of the spine represent,
in the main, the residuum from the group that had been dealt with in
remedial exercise classes before the clinic started. This work is now
being done entirely by the orthopaedic masseuse.
Five cases have been admitted to the Country Branch of the Royal
National Orthopædic Hospital. In each case, progress has been
satisfactory.
TABULATED DIAGNOSES OF NEW CASES DEALT WITH
DURING 1936.
(1) Congenital Defects—
Club Foot 3
Metatarsal Varus 1
Hammer Toes 1