Excerpt from Orthopaedics in Medical Practice

There exists a more intimate connection between internal medicine and orthopaedic surgery than at the first glance might appear to be the case. Closer scrutiny will make it clear, however, that it is under the eyes of the physician that the early symptoms, at first subtle and therefore easily overlooked, of not only many congenital but also of nearly all acquired deformities reveal themselves.

To detect threatening mischief in good'time and to submit, it as soon as possible to an appropriate Specialistic treatment will always be a most important part of the mission fulfilled by the general practitioner, Whose work chie¿y lies within the sphere of internal medicine. Accordingly even the most superficial familiarity with the clinical pictures of orthopaedic conditions coming under his observation will be Valu able and bring home to him the significance which orthopaedy has in medical practice.

With but a slight acquaintance with orthopaedics the pure physician and the family doctor especially will be able to escape the odium attached to a mistaken diagnosis and a consequent useless course of treatment. One may cite a few cases in point.

The altered general appearance which he will observe in a child that but shortly before was lively and bright, and the way in which it holds itself bent.

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