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Related post: shortening of the left leg, the trochanter was ele- vated one-half inch, and the head of the femur could not be felt. The symptoms pointed to coxa vara, but he had not known of any other cases of this disease beginning at such an early age. A skiagraph showed that the head of the bone was in the acetabulum and that the neck was bent downward. There was no evidence of rachitis. The leg at present was smaller than the right ; ab- duction and outward rotation were Inderal Tablets limited, other movements were free; shortening and elevation of the trochanters were the same. There had never been any pain. Dr. Sayre said he should judge from the skia- graph that there had been a fracture of the neck of the femur; the inability to secure history of traumatism Inderal Online did not necessarily have any weight. The child had not been seen till six years of age and gave the history of walking at eleven months and limping. He judged that this might be a case of Generic Inderal fracture or of epiphyseal separation. Dr. Weigel suggested that, if there had been epiphyseal separation the action of the muscles would Order Inderal Online have tended to draw the trochanter and shaft upward, the head being retained in the ace- tabulum. Dr. Sayre said that would depend on the ex- tent of the fracture — in other words, whether Purchase Inderal it were complete or not. Dr. Taylor said that there was a history of several falls, none of them severe nor Inderal Cost followed by symptoms of injury. It was evident that coxa vara was present, whether the result of trauma- tism or malformation. Dr. Weigel read a paper on "Skiagraphy in Othopedics," illustrating his discourse with many negatives adjusted in the X-ray stereoscope which he used. A brief reference was made to the technic of stereoscopic skiagraphy and the ad- vantages over the ordinary method of producing X-ray negatives were fully explained. The tech- nic was not difficult. He considered one of the principal difficulties in skiagraphy Inderal Mg the proper in- terpretation of the negative in the stereoscope. The idea of depth was given which was not ap- parent when viewing the negative alone. By re- versing Buy Inderal Online the negatives in the apparatus the pic- tures could be viewed from the Order Inderal opposite surface. Dr. Weigel also presented the subject of "frac- tures and dislocations in tuberculous joint dis- ease," with illustrative skiagraphs. One of these was of a boy who was said to have double con- genital dislocation of the shoulders, which proved on careful examination to have been Purchase Inderal Online tuberculous destruction of the joints, with partial dislocation. On one side an abscess cavity of large size com- municated directly with the joint. In another case, involving one elbow-joint and forearm, the necrotic process gradually attenuated the shafts of the radius and ulna. Eventually a complete separation of the latter bone occurred about one inch below the joint and allowed the bones of the forearm to slide upward and backward. KEDICAL ASSOCIATION OF THE GREATER CITT OF NEW YORK. Stated Meeting, Held Nmfember 11, ipoi. The Vice-President, William McCoUom, M.D., in the Chair. The General Aspects of Corneal Astigma- tism. — Dr. H. D. Saril said that by reason of November Inderal Price 23, 1901] GREATER NEW YORK MEDICAL SOCIETY. 837 its predominating influence on the causation of asthenopia, kindred Buy Inderal neuralgias, and various se- quelae, astigmatism merits early recognition and optical correction. This defect is largely con- genital, heredity playing an important role. It is aggravated largely by persistent ocular effort, but may be modified by reverse conditions. The amount of innocuous accommodation possible for the eye to perform is a matter of personal equation. The greater the optical error, as a nile, the less the physical inconvenience, but in direct ratio to this is to be found the diminution of visual activity. Astigmatism exists to a greater or less degree in all human eyes ; but the term physiological, as applied to this condition, is an arbitrary one. The annoyance caused by an uncorrected or, reversely, by a forcibly cor- rected astigmatism depends upon the occupation Buy Cheap Inderal of the individual, as well as on Cheap Inderal the power of per- sonal resistance. The greater burden falls on those engaged in scholastic or clerical work, and is almost nil for the laborer. It is evident, there- fore, that one may be affected with headache, neuralgia, blepharitis ciliaris, singly or collec- tively, whereas another remains immune. The pupil is an important factor in regulating the configuration of the astigmatic pencil, and upon its size being favorable to the prevention of dif- fusion circles depends much of the correction of ametropia in general. The feature of greatest interest lies not so much in the quantitative or
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