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Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: must not be made an instrument of torture, because that is neither necessary nor advisable. In the writer's experience, patients have not complained of the slightest discomfort. This, like any other treatment for scoliosis, must be kept up for a long time. CHAPTER IV. TORTICOLLIS (WRY-NECK). Torticollis is a deformity of the neck in which the head is drawn down toward one shoulder and the face tunned in the opposite direction (Figs. 15, 16, 17). Fig. 15.?Torticollis. Etiology.?The disease is usually one of childhood, although it occasionally appears in adults. Most authors state that it occurs more frequently in males than in females. but of 264 cases reported by Whitman, 155 were in females and only 108 in males. It occurs most frequently on the right side. It may be congenital or acquired; the majority of cases are acquired. Of those classed as congenital, many are doubtless due to injuries occurring at birth. These injuries maybe to muscles, nerves, or nerve centers. Acquired cases may be traumatic, paralytic, compensatory, cicatricial, spasmodic, idiopathic. Many traumatic cases have their origin at the time of Fig. 16.?Torticollis. birth; the muscles may be torn, bones may be broken or distorted, nerves or nerve centers may be injured. Paralytic cases are very rare, because paralysis affecting these parts is rarely confined to those muscles the loss ol which would cause this deformity. When it does occur, it may be due either to central or peripheral causes. Compensatory torticollis may occur in scoliosis. It has been known to occur on account of a defect in the eyes. Bradford reports a case in which the child's eyes were soplaced that he found it necessary to twist his neck in order to secure binocular vision. Torticollis may be caused ...

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