Infections of the hand : a guide to the surgical treatment of acute and chronic suppurative processes in the fingers, hand and forearm / by Allen B. Kanavel ... illustrated with 133 engravings.

  • Kanavel, Allen B. (Allen Buckner), 1874-1938.
Date:
1912
Catalogue details

Licence: Public Domain Mark

Credit: Infections of the hand : a guide to the surgical treatment of acute and chronic suppurative processes in the fingers, hand and forearm / by Allen B. Kanavel ... illustrated with 133 engravings. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    poinl, and that is tlic rclatixc ininiiini(\ Ironi iiuoKc- nient of (ho nu'tarai'i)()i)halanp,cal joint ; tliis is possibh' owing to the dense ligaments surrounding the joint, which i)rotect it from invasion by way of the synovial sheath and adjacent phlegmons. As a consequence of this we are often able to preserve a functionating finger, although a considerable destruction of tlie metacarpal may be present; isolated necrosis of a metacarpal is uncommon except in tuberculosis or syphilis. Involvement of the wrist-joint in chronic processes is characterized by multiple foci on both the dorsal and palmar surface. I append' the .v-ra>- photograph of the hand of S. (Fig. 130). Case XLIX.—S., Post-Graduate Hospital, Decem- ber, 1910. The jiatient suffered from a previous tendon- sheath infection of the ulnar and radial sheaths. I saw him after three months of chronic infection, when there were multiple sinuses both on the dorsum and flexor surface of the wrist from the joint, with lateral and distal sinuses upon the dorsum (A the hand from osteom^-elitis of the metacarpals of the index, middle, and little fingers. There was no involvement of the metacarpophalangeal articulations, in spite of the long- continued infection and extensive osteomyelitis. The x-YQ.y picture clearly showed the location of the foci. All of the carpal bones were removed and the necrotic part of the metacarpals. The hand rapidly recovered. All discharge ceased within four weeks. Almost all function was lost. I ha\'(^ been surprised to find that now after three months he is developing some fiexion of the fingers and hand, so that he can now hold a glass and perform other gross functions with the hand. The following histor\- of a jiatieiil in the practice of Dr. H. B. Baumgarth, with w lioiii'1 s.iw the case in