NINETEENTH REPORT OF PROGRESS IN ORTHOPEDIC SURGERY

CONGENITAL CONDITIONS Hypophyseal Lesions and Congenital Deformities.—Samaja,1 reporting a case of congenital deformities of the lower extremities in a twin, associated with an abnormality of the sella turcica, suggests the possible relationship of congenital deformities to changes in the hypophysis.Congenital Torticollis.—Fränkel,2 on the basis of sixty-one cases in which operation was performed without relapse, advocates early open operation by means of a transverse incision in the crease of the neck near the lower end of the muscle. The muscle is isolated and divided, and, if the fascia has been cut transversely, it is sutured longitudinally. Only one insertion of the muscle is divided if correction can be accomplished by this. A plaster cast is applied in overcorrection, with traction away from the shoulder operated on.[Ed. Note.—We believe it is nearly always wiser to divide both insertions and all contracted fascial bands if one