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iell's element was passed thrcmgli the joint obliquely for five min-
utes, during which the positive pole was moved from minute to
minute, from place to place about the joint, but always on that
same side of it. The tension was immediately diminished. I
then produced some twitchings of the extensors of the forearm,
and then those of the arm muscles, by the current changer. All
this had good effects — less red, but joint still hot; omit for
three days — heat then less, and much improved, but pain still
in the bend of the elbow. This was entirely removed in the
course of a few more sittings. In four weeks this treatment
most radically cured it, and restored the arm nearly as well as
the other. (See p. 475, A, B, C, and Appendix E, F, G.)
" Spasmo-Paralysis " in Childhood.
Dr. W. J. Little, the " founder " of the Royal Orthopedic Hos-
pital near London, gives an expose of his views of early and
" unnecessary division of tendons" in children under ten years
of age, who are suffering from spasmo-paralysis.* We cannot do
better here, than to quote such candid and practical advice. He
there says, " I shall endeavor to demonstrate, that the larger
portion of those contractions of muscles, which take place during
childhood, may be treated without tenotomy; at least as success-
fully without division of tendons, as with the performance of
that operation."
In order not to appear to disparage Stromeyer's great discovery
of sub-cutaneous division of tendons, and to prevent misconstruc-
tion, I may at once state, that many cases of non-congenital
deformities in various parts of the body and limbs, in their ad-
vanced stages, are relievable only with the aid of such tenotomy.
Talipes cquinus, wry-neck, contracted elbow and knee, when
severe, and of several years' duration, may be here adduced.
But it is now a matter of weekly experience to me, how singu-
larly the necessity for resort to the tenotomy becomes restricted,
when mechanical treatment by means of properly adapted and
adjusted apparatus and manipulations, aided by physiological
* Braithewaite's Retrospect, for 1858, part 37, page 132.