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OPPONENS SPLINT FOR THENAR PARALYSIS IN POLIOMYELITIS
448
a last-resort procedure is described first, an mention of what many regard as the more r operation of partial resection and advancement of the palpebrse superioris (modified Everbusch’s operation) Dickey’s operation. Also, it is time, we think, that the and unsterile practice of rubbing cocaine crystals conjunctiva was omitted from the textbooks.
operations,
Reviews of Books
is
Cancer of the Lung and Treatment. MILTON B. ROSENBI,ATT, M.D., associate professor of medicine, New York Medical College ; JAMES R. LISA, M.D., director, pathology
Pathology, Diagnosis
no
Diseases ofethe Skin (llth ed. London : Henry Kim 1956. £11).—The scope of this book, Pp. 1479. Richard L. Sutton, jun., is encyclopaedic. Innumerable ences are appended to or incorporated in the text, a 1972 excellent illustrations constitute a veritable at Pulmonary Carcinoma book -which has survived for forty years and run to and Treatment. Editors Pathogenesis, Diagnosis, As a source of up-t editions clearly meets a need. EDGAR MAYER, M.D. ; HERBERT C. MAIER, M.D. New on dermatological topics this work is unsurp information York : New York University Press. London : Pitman and the author lightens the text here and there by irre Medical Publishing Co. 1956. Pp. 540. E6. excursions : peripatetic dermatologists will be gratif IT is not surprising that two new monographs on lung ’ learn that a crocodile can be made to let go by goug cancer should have appeared. The disease is increasing eyes.
service, New York City Department of Hospitals. York and London : Pp. 317. ;E6.
Oxford
University
Press.
New 1956.
rapidly in the more highly developed and cigarette-smoking countries, where the problems of pulmonary tuberculosis are decreasing and interest is shifting from the one to the other.
Both these books
are
useful additions.
The monograph by Dr. Rosenblatt and Dr. Lisa contains little that is original ; but it will be useful for the general medical reader. The book edited by Dr. Mayer and Dr. Maier, on the other hand, describes original work and thought and is quite the best on lung cancer so far produced. As in most works with many contributors its quality is uneven. But, although some sections might have been more critical and others more elegant, the balance is satisfying, and it provides something of value for readers of all levels of experience and. discrimination. One welcome innovation is a chapter on the psychological aspects of lung cancer, written without obstructive
psychiatric jargon. It is a pity that the high price of both monographs puts them beyond the reach of many who would profit by them and would wish to have copies in their possession. Skin Surgery Editor : ERVIN EPSTEIN, M.D., assistant clinical professor of medicine (dermatology), Stanford University Medical 1956. School, California. London : Henry Kimpton. Pp. 228. 92 16s. THIS book is addressed primarily to dermatologists. It describes the techniques and indications for procedures, other than radiotherapy, required in the treatment of skin lesions. At
first, this work gives the impression that it is
"
a do-ityourself " manual of minor surgery, but there are chapters on plastic work and extensive oral surgery which must be beyond the range of most dermatologists, and particularly those who turn to this book for guidance. Otherwise it describes methods which are practised at any centre where dermatologists are trained. Since the choice of method in any particular case calls for judgment, a book by twenty authors cannot be an entirely satisfactory substitute for discussion in the clinic with experienced teachers.
Handbook of Ophthalmology (8th ed. London : A. Churchill. 1956. Pp. 331. 30s.).-That this book, by Mr. Humphrey Neame and Mr. F. A. Williamson-Noble, has reached its 8th edition is a tribute to its popularity among undergraduates and general practitioners. It deals systematically with the commoner diseases of the eye and protecting structures, and two uncommon diseases of current interesttoxoplasmosis and retrolental fibroplasia. We should perhaps mention, however, some passages which are not beyond criticism. With modern intra-ocular surgical technique there is no need to invite a patient to " look down during operation, and indeed this can be dangerous during a cataract extraction ; and an instruction to the patient to close her eyelids at the end of an operation before which orbicularis akinesia has been attempted is either an admission of failure or a request for the impossible. Illustrations of intracapsular cataract extraction show fixation forceps maintained on the eye during iridectomy and application and manoeuvre of the capsule forceps. In the section on ptosis
Bronchologie (2nd ed. Vols. i and 11. Paris : M 1956. Pp. 1146. Fr. 14,000 the set).-The second edit this work by Andre Soulas and Pierre Mounier-Kuh nearly twice as many pages as the first and contain figures with 67 colour plates. It is a massive treatise anatomy and pathology of the bronchi, and on the techn of bronchoscopy including the reproduction of the appear of the bronchi by photography, cinephotography, an vision. It is both an atlas of bronchoscopic appearance a textbook of chest disease.
Medical Annual (Bristol : John Wright. 1956. Pp 38s. 6d.).-Sir Henry Tidy and Prof. Milnes Walker continued their useful work of editing this annual, wh a perennial favourite of many. This year the index t pharmaceutical preparations, already a valuable featur been expanded, and includes some hundred and se products introduced in the past twelve months.
New Inventions
OPPONENS SPLINT FOR THENAR PARALYS IN POLIOMYELITIS
PARALYSIS of the thenar muscle in poliomye demands protective splintage throughout the isol stage of the illness. A free range of passive abduc of the thumb should be maintained from the onset best results are to be expected from subsequent t
transplant. The splint illustrated here is made from a T-sh pattern of orthopaedic felt, designed by the physioth
A
J. &
"
to suit each individual patient. Tape ties adjust correct tension and facilitate removal for passive mo ment. Orthopaedic felt is the most suitable material. readily available, is easy to cut, and provides effi and comfortable splintage during the early stage
pist
poliomyelitis.
Princess Margaret Rose Hospital G. P. MITCHELL for Crippled Children. Fairmilehead. Edinburgh M.C., M.B. Aberd., F.R.C.S.
a last-resort procedure is described first, an mention of what many regard as the more r operation of partial resection and advancement of the palpebrse superioris (modified Everbusch’s operation) Dickey’s operation. Also, it is time, we think, that the and unsterile practice of rubbing cocaine crystals conjunctiva was omitted from the textbooks.
operations,
Reviews of Books
is
Cancer of the Lung and Treatment. MILTON B. ROSENBI,ATT, M.D., associate professor of medicine, New York Medical College ; JAMES R. LISA, M.D., director, pathology
Pathology, Diagnosis
no
Diseases ofethe Skin (llth ed. London : Henry Kim 1956. £11).—The scope of this book, Pp. 1479. Richard L. Sutton, jun., is encyclopaedic. Innumerable ences are appended to or incorporated in the text, a 1972 excellent illustrations constitute a veritable at Pulmonary Carcinoma book -which has survived for forty years and run to and Treatment. Editors Pathogenesis, Diagnosis, As a source of up-t editions clearly meets a need. EDGAR MAYER, M.D. ; HERBERT C. MAIER, M.D. New on dermatological topics this work is unsurp information York : New York University Press. London : Pitman and the author lightens the text here and there by irre Medical Publishing Co. 1956. Pp. 540. E6. excursions : peripatetic dermatologists will be gratif IT is not surprising that two new monographs on lung ’ learn that a crocodile can be made to let go by goug cancer should have appeared. The disease is increasing eyes.
service, New York City Department of Hospitals. York and London : Pp. 317. ;E6.
Oxford
University
Press.
New 1956.
rapidly in the more highly developed and cigarette-smoking countries, where the problems of pulmonary tuberculosis are decreasing and interest is shifting from the one to the other.
Both these books
are
useful additions.
The monograph by Dr. Rosenblatt and Dr. Lisa contains little that is original ; but it will be useful for the general medical reader. The book edited by Dr. Mayer and Dr. Maier, on the other hand, describes original work and thought and is quite the best on lung cancer so far produced. As in most works with many contributors its quality is uneven. But, although some sections might have been more critical and others more elegant, the balance is satisfying, and it provides something of value for readers of all levels of experience and. discrimination. One welcome innovation is a chapter on the psychological aspects of lung cancer, written without obstructive
psychiatric jargon. It is a pity that the high price of both monographs puts them beyond the reach of many who would profit by them and would wish to have copies in their possession. Skin Surgery Editor : ERVIN EPSTEIN, M.D., assistant clinical professor of medicine (dermatology), Stanford University Medical 1956. School, California. London : Henry Kimpton. Pp. 228. 92 16s. THIS book is addressed primarily to dermatologists. It describes the techniques and indications for procedures, other than radiotherapy, required in the treatment of skin lesions. At
first, this work gives the impression that it is
"
a do-ityourself " manual of minor surgery, but there are chapters on plastic work and extensive oral surgery which must be beyond the range of most dermatologists, and particularly those who turn to this book for guidance. Otherwise it describes methods which are practised at any centre where dermatologists are trained. Since the choice of method in any particular case calls for judgment, a book by twenty authors cannot be an entirely satisfactory substitute for discussion in the clinic with experienced teachers.
Handbook of Ophthalmology (8th ed. London : A. Churchill. 1956. Pp. 331. 30s.).-That this book, by Mr. Humphrey Neame and Mr. F. A. Williamson-Noble, has reached its 8th edition is a tribute to its popularity among undergraduates and general practitioners. It deals systematically with the commoner diseases of the eye and protecting structures, and two uncommon diseases of current interesttoxoplasmosis and retrolental fibroplasia. We should perhaps mention, however, some passages which are not beyond criticism. With modern intra-ocular surgical technique there is no need to invite a patient to " look down during operation, and indeed this can be dangerous during a cataract extraction ; and an instruction to the patient to close her eyelids at the end of an operation before which orbicularis akinesia has been attempted is either an admission of failure or a request for the impossible. Illustrations of intracapsular cataract extraction show fixation forceps maintained on the eye during iridectomy and application and manoeuvre of the capsule forceps. In the section on ptosis
Bronchologie (2nd ed. Vols. i and 11. Paris : M 1956. Pp. 1146. Fr. 14,000 the set).-The second edit this work by Andre Soulas and Pierre Mounier-Kuh nearly twice as many pages as the first and contain figures with 67 colour plates. It is a massive treatise anatomy and pathology of the bronchi, and on the techn of bronchoscopy including the reproduction of the appear of the bronchi by photography, cinephotography, an vision. It is both an atlas of bronchoscopic appearance a textbook of chest disease.
Medical Annual (Bristol : John Wright. 1956. Pp 38s. 6d.).-Sir Henry Tidy and Prof. Milnes Walker continued their useful work of editing this annual, wh a perennial favourite of many. This year the index t pharmaceutical preparations, already a valuable featur been expanded, and includes some hundred and se products introduced in the past twelve months.
New Inventions
OPPONENS SPLINT FOR THENAR PARALYS IN POLIOMYELITIS
PARALYSIS of the thenar muscle in poliomye demands protective splintage throughout the isol stage of the illness. A free range of passive abduc of the thumb should be maintained from the onset best results are to be expected from subsequent t
transplant. The splint illustrated here is made from a T-sh pattern of orthopaedic felt, designed by the physioth
A
J. &
"
to suit each individual patient. Tape ties adjust correct tension and facilitate removal for passive mo ment. Orthopaedic felt is the most suitable material. readily available, is easy to cut, and provides effi and comfortable splintage during the early stage
pist
poliomyelitis.
Princess Margaret Rose Hospital G. P. MITCHELL for Crippled Children. Fairmilehead. Edinburgh M.C., M.B. Aberd., F.R.C.S.