appeared more stiff than before, roentgen reexamination show¬ ing no change in the position of the parts.The soldier declined further manipulations or operation.Suspension of the entire body from the head was of no avail.COMMENT There are some very interesting points regarding this case:1. History.-It seems unreasonable to believe that we have the correct history of the case.The ton- sillectomy was done under local anesthesia (procain), and this trouble came on suddenly the night of the operation.I have corresponded with the base hos- Simple anterior dislocation of the atlas.pital from which the patient was sent.It is stated that there is no history of trauma, and the patient denies any himself.
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Opie et al. (1919) studied this question.