File:The diseases of infancy and childhood (1910) (14741111306).jpg

Identifier: diseasesofinfa00kopl (find matches)
Title: The diseases of infancy and childhood
Year: 1910 (1910s)
Authors: Koplik, Henry, 1858- (from old catalog)
Subjects: Children
Publisher: New York and Philadelphia, Lea & Febiger
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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daily will keep up the tonicity of the para-lyzed muscle-groups. In the early stages dry-cups applied to thenape of the neck and along the spine will, according to some, be ofutility. In the stage of muscular contracture it is well to beginearly the application of splints and orthopedic braces to preventdeforming contractures. Tenotomy is only called for in extremecontracture of tendon. THE JUVENILE FORM OF PROGRESSIVE MUSCULAR ATROPHY (ERBS TYPE). This disease is characterized by a weakness and progressive wast-ing of certain muscles. It begins in childhood or early youth, andinvolves, as a rule, the shoulder-girdle, the upper arm and pelvicgirdle, and the thigh and back. The muscles of the forearm and legremain for a time intact. This atrophy may be associated with truehypertrophy or pseudohypertrophy of some muscle. The pectoralis,the trapezii, the latissimi dorsi, the serrati. the rhomboids, the upperarm muscles and supraspinators, are apt to be wasted. The deltoid?. PLATE XXXVII
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Erbs Paralysis in a Child Twenty-six Months of Age.Atrophy of the deltoid, subluxation of the arm; bony prominences marked. PSEUDOHYPERTROPHIC MUSCULAR PARALYSIS. Hit supraspinal, and infraspinati may bo normal or hypertrophied for atime. There are no fibrillar contractions, no disturbances of sensa-tion, and no reactions of degeneration and visceral disturbances. THE LANDOUZY OR DEJERINE TYPE OF THE FACIO-SCAPULO-HUMERAL FORM OF MUSCULAR ATROPHY. This form in no way differs clinically or pathologically from thejuvenile form of muscular atrophy. Authors include in this classall cases in which the atrophy begins in early life, as a rule, in themuscles of the face. The patients have a peculiar expression—so-called afacies myopathique. The lips are thickened (bouche detapir or tapir mouth). The shoulders later become atrophied. Thesupraspinal, infraspinati, and the flexors of the hands and fingersremain normal, as do the muscles of deglutition, mastication, respira-tion, and the laryng

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