On the treatment of Dupuytren's contraction of the fingers / by James Hardie.

  • Hardie, James, 1841-1909.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: On the treatment of Dupuytren's contraction of the fingers / by James Hardie. 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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    the operation, contraction from cicatrix being one of the most difficult conditions to relieve.” I must point out, however, that the antiseptic method renders such risk extremely slight, and that the subjoined cases point to a distinctly different conclusion on every point at issue. As regards the “severity ” being “unnecessary,” of course that is a begging of the whole question. Case I.—J. K, a slater, aff. 62. Ring, little, and middle fingers of both hands affected. Degree of contraction in above order. Left rather more severe than right. On the latter, first and second phalanges of ring and little fingers, and first phalanx of middle, in a state of flexion. Transverse cutaneous creases very closely adherent to fascia. Elsewhere the skin is puckered and hard. The longitudinal bands of fascia proceeding to the affected fingers extremely tense. On the left side the same description applies, with the addition that here the terminal phalanges of all three fingers are also bent down, and the middle phalanx of the middle finger also. The amount of flexion of the other joints is also greater. Duration, nine years. (Fig 1 ) . 1884, February 16th. Left hand operated on The incisions were carried from the middle of the palm to the base of the second phalanx m each finger. Very free separation of the skin was made, so that the incisions almost met under the portion of skin