AFTER several setbacks the osteopaths have renewed their efforts to establish recognition of their cult in the state of New York. The Davis bill, which is intended to create an osteopathic examining board under the Regents of the State University, was recently given public hearing before the Senate Judiciary Committee. Several physicians and laymen spoke in opposition to the bill, contending that its passage would permit persons unqualified, by reason of meager medical knowledge, to engage in medical practice. The only supporters of the bill were four osteopaths from different New York cities.

RECENT LITERATURE.

REVIEWS.

THE READY REFERENCE HANDBOOK OF DISEASES OF THE SKIN.*

THIS last edition of Doctor Jackson's well-known and popular handbook contains the addition of much new material in text and illustration. It is among the best of handbooks, and while the alphabetical arrangement of diseases does not commend itself to the specialist or teacher, it will appeal to the practitioner who wishes to get at the gist of pathology, diagnosis, and treatment of a given case-if only tentatively -in the shortest time. The style is clear and concise, and the book will advance the position the former editions held as a valuable and trustworthy guide in the care of diseases of the skin. A useful appendix contains suggestive formulæ for external applications, as well as for internal medication.

W. F. B.

*By George F. Jackson, M. D. Fifth edition, thoroughly revised, making a 12-mo. volume of 676 pages, with ninety-one engravings and three colored plates. Cloth, $2.75, net. Lea Brothers & Company, Philadelphia and New York, 1905.

SELF-POISONING OF THE INDIVIDUAL.*

THE reprinting of this well-known work seems to indicate a continued demand. This being so, it is unfortunate the whole book was not rewritten. It is hard to patch the stuff of the last twelve years' work upon the well-worn garment of the former time, and Doctor Oliver has only made this clearer by his well-meant endeavors. The things that made the first edition popular are still here-the assurance of certainty, the simple faith in antiseptics, but they fall on stonier ground than before. Let us hope the next edition will give us what the first promised.

G. D.

*By CH. BOUCHARD, Professor of Pathology and Therapeutics; Member of the Academy of Medicine and Physician to the Hospitals,

Paris. Translated, with a Preface and New Chapters added, by Thomas Oliver, M. A., M. D., F. R. C. P., Professor of Physiology, University of Durham; Physician to the Royal Infirmary, New CastleUpon-Tyne; formerly Examiner in Medicine, Royal College of Physicians, London. Second revised edition. Crown octavo, 342 pages, Extra cloth. Price, $2.00, net. F. A. Davis Company, Publishers, 1914-16 Cherry Street, Philadelphia.

PRACTICAL PEDIATRICS.*

THIS treatise on the medical and surgical diseases of childhood is certain to rank as one of the best books of the kind for the busy practitioner or for the student preparing for examination. It is brief and to the point, as the author has omitted superfluous material. The American translator has made many additions and inserted notes which enhance the value of the book. An excellent chapter devoted to the "Materia Medica and Theurapeutics of Childhood" coucludes the work. The book is most attractively executed and the parts are well arranged.

A. D. H.

*A Manual of the Medical and Surgical Diseases of Infancy and Childhood. By Doctor E. Graetzer, Editor of the Centralblatt für. Kinderheilkunde and the Excerpta Medica. Authorized translation, with numerous Additions and Notes, by Herman B. Sheffield, M. D., Instructor in Diseases of Children, and Attending Pediatrist (O. P. D.) New York Post-Graduate Medical School and Hospital; Visiting Pediatrist to the Metropolitan Hospital and Dispensary, et cetera. Pages XII-544. Crown octavo, flexible cloth, round corners. Price, $3.00 F. A. Davis Company, Publishers, 1914-16 Cherry Street, Philadelphia.

net.

THE PHYSICAL EXAMINATION OF INFANTS AND

YOUNG CHILDREN.*

An inexpensive, neat little book, full of many practical suggestions for those who desire to acquaint themselves with the various methods of examining children. The illustrations are clear in detail. There is only one subject of importance in the examination of children the author fails to clear up for the reader, that is, how to induce the child to become so "pleased to meet you." The majority of the illustrations present a smiling nurse and doctor and a perfect angel of a patient, almost like the catatoniac whose arm stays where you put it.

*By Theron Wendell Kilmer, M. D., Adjunct Attending Pediatrist to the Sydenham Hospital; Instructor in Pediatrics in the New York Polyclinic Medical School and Hospital, New York; Attending Physician to the Summer Home of Saint Giles, Garden City, New York. Illustrated with fifty-nine half-tone engravings. 12mo, 86 pages. Bound in extra cloth. Price, 75 cents, net. F. A. Davis Company, Publishers, 1914-16 Cherry Street, Philadelphia.

CONGENITAL LUXATION OF THE HEAD OF THE RADIUS.*

REPORT OF TWO CASES. ANALYSIS OF FIFTY-ONE CASES. SUMMARY.
CERTAIN OTHER CONSIDERATIONS. CONCLUSIONS.

BY WILLIAM E. BLODGETT, M. D., DETROIT, MICHIGAN.

THE Concurrence of two new cases of congenital luxation of the head of the radius, with failure to find a thorough review of the subject directly based on the observed facts, has led to the present paper. Nearly all the cases here included are referred to by Powers,' Blumenthal, Bonnenberg," or Abbott, to whom the author is indebted for most of his data; but it is believed that a uniform analysis of each case and collation and summary of the entire group is needed.

The plan of the paper, therefore, is to (I) report the author's two cases, (II) analyse the fifty-one cases. (III) summarize the group, (IV) consider certain features of the subject not covered by the summary, and (V) draw conclusions.

I.-REPORT OF CASES.

Case I.-A girl, fifteen years old. No miscarriages or other suggestion of syphilis in family history. No abnormalities in parents or in brothers or sisters. The trouble in the arms was first noticed when it was found that the young baby could not hold a lump of sugar on either palm. Three years ago while arranging her hair, the patient

*Presented by invitation at the nineteenth annual meeting of the AMERICAN ORTHOPEDIC ASSOCIATION, at Boston, June 6-8, 1905.

had sudden pain in the left elbow upon attempting to extend it; no pain when the elbow was at rest in flexion. This difficulty in extension continued several months. An anesthetic showed that the obstacle to extension was muscular. The difficulty gradually disappeared. Neither elbow has at any time been swollen or tender. No other deformities. Excellent general health. The chief complaint is of partial disability of either arm, illustrated by the patient's inability to grasp a plate or a spoon with the thumb on the upper surface. There is also unusual liability to fatigue in the arms.

FIGURE 1.--RIGHT ELBOW, CASE I, SHOWING ANTERIOR DISLOCATION OF HEAD OF RADIUS, ELONGATION OF RADIUS, AND FUSION OF RADIUS AND ULNA.

Patient is well developed and nourished. Examination of parts other than the arms, negative. The forearms are fixed in respect to rotary motion in full pronation. Flexion and extension are free and strong. Hyperextension beyond straight sixteen degrees on left and twenty degrees on right. Relation of condyles and olecranon apparently normal. Distal to the external condyle and the capitellum, the space normally occupied by the head of the radius is vacant. On the flexure surface of the elbow, anterior to this vacant space, is plainly felt a hard, globular body, size of the index finger, moving with

movement of the forearm. The tendon of the biceps passes down on the inner side of this body. No atrophy apparent. No other abnormalities of arms. The two elbows are alike.

Radiographs show on each side an anterior luxation of the radial head, excessive length of the upper end of the radius, absence of the normal slight anterior concavity of the lower end of the shaft of the humerus, and cancellated bone fusion of the radius above the tubercle with the ulna. Radiographs of the forearms and wrists show nothing abnormal, except that bones are small for age.

FIGURE

IN

The temporary inability to extend the left elbow without pain is to be explained by a sprain, to which such an imperfect joint would be especially liable. Excision of the radial head, the only operative procedure to be considered, was believed unindicated by the amount of disability present.

Case II-(Through courtesy of Doctor Daniel LaFerté, Detroit).