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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    outer condyles of tlie femur. The varicose enlargements in the calf and leg are much as before the development of the aneurism, but the general swelling is much less, and all pain in the heel and limb has disappeared. Case II.—Peter Gorrie, rnt. 50, was admitted to the Royal Infir- mary on the 10th of July 1868, on account of a pulsating tumour in the left groin. He was recommended to my care by Dr Far- quharson of Stockton on Tees, where he had been occupied as an engineer. I am indebted to Mr A. Bennett’s notes of this case for the following particulars :— History.—The swelling appeared in his groin six weeks previous to his admission into hospital. When first noticed it was about the size of a plum; but it has gradually increased in size, and has been attended with a considerable degree of pain and numbness along the inner side of the left thigh and leg. When first observed pulsation was recognised in the swelling. He has been abroad for several years, and has suffered from ague. Present Condition.—Upon examination, a tumour the size of half an orange is seen to exist in the left groin about an inch and a half below Poupart’s ligament in the line of the femoral artery, extending downwards for about two inches. It has a distinct visible pulsation, which is distensile in its character, separating the fingers from each other, when applied smoothly over its surface. On applying the stethoscope to the swelling, a distinct single sys- tolic murmur is audible. Pressure applied to the common femoral or external iliac is attended by subsidence of the swelling and dis- appearance of pulsation and bruit, which are more strongly marked just when the controlling pressure is withdrawn. His pulse is irregular from an occasional intermission. Careful examination of the chest revealed no cardiac or aortic physical lesions, 11th July.—To-day at 12.30 compression by a 12 lb. weight was applied to the common femoral artery immediately above the tumour by means of the same apparatus latterly employed in Mr G.’s case. By this means all pulsation and bruit in the sac were immediately arrested. To have 30 grains of iodide of potassium every four hours. The dressers to take it in turns to sit by the patient controlling the position of the weight by the indications afforded by the tumour. Vespere.—Patient complains of pain caused by the pressure of the weight. To have 40 minims of the solution of morphia. 12th July.—Slept tolerably during the night. There is still pulsation felt in one portion of the sac on the removal of weight, but this is limited, the rest of the swelling feeling hard and pulse- less. Weight continued. Vespere.—Has slept for several hours during the day, and makes no complaint of pain. lA:th Having been absent from town since the 11th inst., I saw this patient now for the first time since applying the pressure.