Hysterical motility disorders during the First World War: cases from the orthopaedic department of the Red Cross Hospital in Zagreb.

IF 2 3区 医学 Q2 ORTHOPEDICS International Orthopaedics Pub Date : 2025-01-01 Epub Date: 2024-12-03 DOI:10.1007/s00264-024-06388-x
Stella Fatović-Ferenčić, Martin Kuhar
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Abstract

Purpose: This paper examines how Vladimir Ćepulić at the orthopaedic department of the Red Cross Hospital in Zagreb described, understood and treated hysterical motility disorders between 1915 and 1917.

Methods: We analysed Ćepulić's article from 1919 on 107 cases of motility disorders among World War I veterans. Our analysis involved a formal examination of historical records, articles, and contemporary literature on conversion disorders, as well as a contextual analysis of Ćepulić's work.

Results: Ćepulić's report is a rare record of patients with conversion disorder treated within an orthopaedic department during the First World War. It provides detailed descriptions and documentation including photographs. By subscribing to the hysterical aetiology of this disorder, Croatian orthopaedists employed a diverse range of treatments, such as hypnosis, suggestion, electricity, anaesthesia and surgery.

Conclusion: We have demonstrated that a significant number of patients with motility disorders of psychogenic origin were treated at the orthopaedic department of the Red Cross Hospital in Zagreb. The detailed descriptions left by our predecessors can be used to trace the epidemiology and evolution of these disorders over time, including complex conditions like conversion disorder.

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第一次世界大战期间歇斯底里的运动障碍:萨格勒布红十字医院矫形科的病例。
目的:本文考察了弗拉基米尔Ćepulić在萨格勒布红十字医院骨科如何描述,理解和治疗歇斯底里运动障碍1915年至1917年之间。方法:我们分析了Ćepulić从1919年开始的107例第一次世界大战退伍军人运动障碍的文章。我们的分析包括对转换障碍的历史记录、文章和当代文献的正式检查,以及对Ćepulić工作的上下文分析。结果:Ćepulić的报告是第一次世界大战期间骨科治疗转换障碍患者的罕见记录。它提供了详细的描述和文件,包括照片。克罗地亚矫形外科医生根据这种疾病的歇斯底里病因学,采用了各种治疗方法,如催眠、暗示、电、麻醉和手术。结论:我们已经证明,在萨格勒布红十字医院矫形科治疗了相当数量的心因性运动障碍患者。我们的前辈留下的详细描述可以用来追踪这些疾病的流行病学和演变,包括像转换障碍这样的复杂情况。
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来源期刊
International Orthopaedics
International Orthopaedics 医学-整形外科
CiteScore
5.50
自引率
7.40%
发文量
360
审稿时长
1 months
期刊介绍: International Orthopaedics, the Official Journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) , publishes original papers from all over the world. The articles deal with clinical orthopaedic surgery or basic research directly connected with orthopaedic surgery. International Orthopaedics will also link all the members of SICOT by means of an insert that will be concerned with SICOT matters. Finally, it is expected that news and information regarding all aspects of orthopaedic surgery, including meetings, panels, instructional courses, etc. will be brought to the attention of the readers. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the "Principles of laboratory animal care" (NIH publication No. 85-23, revised 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable. The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfil the above-mentioned requirements.
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