Orthopaedic medicine was developed and published by James Cyriax, a British Orthopaedic Physician on 1929. Orthopaedic medicine is concerned with the diagnosis and treatment of soft tissue lesions. These disorders affect a substantial proportion of all patientients in general and in particular, physiotherapy and sports clinics.
In broad terms these disorders emtrace conditions, such as artritiis, rheumatism, fibrositis, backache, lumbago, sciatica, frozen shoulder, tennis elbow, strained wrist, sprains, aches, inflanmation and sports injuries generally.
The soft Moving tissues shre one thing in common-they are all radiotranslucent and the tissues in question are the joint capsule, the ligaments, the fasciae, dural sheath.
These structures can cause pain but none of them is visible on the radiograph.
Dr. Cyriax divided all cause pain but none of them is visible on the radiograph.
1) Contractile tissue, 2) Inert or noncontractile tissue.
The mechanism of diagnosis is tension applied manually.
The physician subjects each tissue about the incriminated joint to tension in turn which they call ´Selective tension´ with Cyriax´s assessment, a more definitive diagnosis can be obtained and proper treatment can be implemented.
|