On the pathological changes produced in the shoulder-joint by traumatic dislocation : as derived from an examination of all the specimens illustrating this injury in the museums of London / by William Henry Flower.

  • Flower, William Henry, 1831-1899.
Date:
[1861]
Catalogue details

Licence: Public Domain Mark

Credit: On the pathological changes produced in the shoulder-joint by traumatic dislocation : as derived from an examination of all the specimens illustrating this injury in the museums of London / by William Henry Flower. 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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    TREATMENT OF ANEUEISM BY COMPEESSION. ,.E I.—On the 12th of September 1867,1 was consulted by J. G., ..32, on account of swelling of the left limb, extending as high as knee, accompanied with a varicose state of all the superficial s of the foot and leg, and a sense of pain resembling rheumatism ; ting the heel. These symptoms at once led to my examining Aopliteal space, with the expectation of discovering a popliteal jrism. It was fiiller than natural, but there was neither a )ur nor any unnatural pulsation of the artery. The pulse, in from the knee downwards, was scarcely discernible. There no want, however, of free arterial circulation in the limb, as obvious from the colour of the extremity, and the rapidity with h the veins filled when emptied by pressure upwards. The that the venous engorgement was purely due to varix, was er encouraged by the immediate subsidence of all venous ful- on Mr G. assuming the recumbent posture. His history was •f rheumatism, with two attacks of rheumatic fever. He had, ermore, an aortic bruit with the first sound, but no evidence of lardiac structural alteration beyond the lesion of the aortic ori- ■, Excluding the idea of an aneurismal affection, these symp- appeared to point to an extensive varicose dilatation of the of the limb, deep as well as superficial; the distended con- of the deep veins producing the neuralgic pain in the heel dong the course of the anterior and posterior tibial nerves. Drdingly recommended bathing the limb with warm water' le employment of an elastic stocking. ’ 3ard nothing further of my patient from this date until the end bruary 1868, except that he was well in every respect but le limb continued to give rise to uneasiness. ’