Chapter 14. Primary orthopaedics

Table of Contents
The scope of primary othopaedics
The general method for contractures
Preventing contractures in the acute and subacute stages of poliomyelitis
Managing chronic polio
Appliances for polio
Contractures of the hip and knee
Equinus deformity of the ankle
Back pain, lumbar disc lesions
Epicondylitis (tennis elbow)
Stenosing tenosynovitis
Ganglions
The carpal tunnel syndrome
Congenital dislocation of the hip (CDH)
The child with a painful hip or a limp
Perthes' disease (osteochondritis)
Neonatal talipes equinovarus
Ingrowing toe-nail
Other orthopaedic problems

The scope of primary othopaedics

Most of your orthopaedic problems will be the fractures that are described in detail from Chapter 69 onwards. Many of the non- traumatic conditions you will see are also described in other chapters: they include osteomyelitis (Chapter 7), septic arthritis (7.16), and tuberculous bone and joint disease (Chapter 29). The orthopaedics which remains to be considered here consists of the important subject of contractures in general (27.2), polio (27.3 to 27.7), talipes (27.15), and a few minor orthopaedic probems that you can treat without difficulty, such as epicondylitis (''tennis elbow', 27.9), stenosing tenosynovitis (27.10), ingrowing toenail (27.16), and a few others (27.17).

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