Cyst of fibula (serous) : excision of upper half of fibula / by George Buchanan ; reported by Anstruther Davidson.

  • Buchanan, George, 1827-1906.
Date:
[1882]
Catalogue details

Licence: Public Domain Mark

Credit: Cyst of fibula (serous) : excision of upper half of fibula / by George Buchanan ; reported by Anstruther Davidson. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    CYST OF FIBULA (SEROUS)—EXCISION OF UPPER HALF OF FIBULA. By GEORGE BUCHANAN, Professor of Clinical Surgery, University of Glasgow. Reported by House Surgeon ANSTRUTHER DAVIDSON, M.B. A. L., ret. 12, a healthy well developed country lad, was sent to consult Professor Buchanan concerning a large oval-shaped tumour on the outer side of the right leg, extending down- wards from the fibular articulation for about six inches, and measuring from its inner side to the middle of the leg behind, over its most prominent part, eight inches. On the inner side it was pretty well circumscribed; a slight furrow existed between it and the tibia, but behind its limits were lost in the sural muscles. It was immovably fixed, smooth and uniform in its outline, felt hard on palpation, with here and there a spot which toa\ e a semi-elastic sensation, with eggshell crackle,on firm Pressure. The skin was freely movable over it, and showed very plainly the blue veins coursing over the tumour. No pain was lelt on manipulation, or in walking, which was not in any way interfered with. The glands in the groin were unaffected. He gave the following account of its causation and history:— Twelve months ago he had fallen from a tree and bruised his right leg below the knee joint, the effects of which were soon relieved by fomentations, but there v^as left a slight thicken- ing ot the tissues where the blow was struck. Shortly after he received another bruise on the same part by falling over a stone, causing it to become swollen and painful. Treatment y lest and fomentations relieved the pain and reduced some- what the swelling, which after a little begun slowly to increase in spite ot the counter irritation applied to discuss it It went on increasing but slowly at first, then rapidly for a short penod, and lately had been stationary, or not increasing to any appreciable extent.