The relation of gout and rheumatism to Dupuytren's contraction of palmar fascia, with results of treatment by Adams' operation : being a thesis for the M.B. degree at Cambridge University / by Charles Edward Hedges.

  • Hedges, Charles Edward, 1866-
Date:
[1897]
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Licence: Public Domain Mark

Credit: The relation of gout and rheumatism to Dupuytren's contraction of palmar fascia, with results of treatment by Adams' operation : being a thesis for the M.B. degree at Cambridge University / by Charles Edward Hedges. 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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    4 [Reprinted from St. Bartholomew’s Hospital Reports, Vol. XXXII.] PAL.A1AR FASCIA, WITH RESULTS OF TREATMENT BY ADAMS’ OPERATION ; BEING A THESIS FOR THE M.B. DEGREE AT CAMBRIDGE UNIVERSITY. CHAELES EDWARD HEDGES, M.B. The deformity known as Dupuytren’s contraction of the palmar fascia, noted by Sir Astley Cooper in 1820, and called by Boyer in 1821 “ Chrispatnra tendinum,” was first accurately described and its pathological appearances pointed out by Dupuytren in 1831. In his lectures, 1831-32, he says: “It has been made necessarily to depend on a rheumatismal, a gouty affection of tendons, external violence, fracture, on a ‘ morbific cause induced by metastasis,’ such as follows inflammation of the sheaths of tendons, or on a species of ankylosis.” It was Dupuytren who, by careful dissection, first proved the de- formity to depend on a thickening and contraction of the palmar fascia. As to the cause, he believed it was wholly provoked by repeated injuries of the palmar fascia by pressure and friction from implements habitually used in different mechanical callings (Gazette Medicale de Paris, 1835, vol. hi. p. 481). The deformity does not appear to have interested English surgeons until Adams, in 1873, published his “Obser- vations on Contraction of Fingers, commonly called Dupuytren’s Contraction,” in which he ascribed it partially to a local and