On gout as a peripheral neurosis / by Willoughby Francis Wade.

Date:
1893
Catalogue details

Licence: Public Domain Mark

Credit: On gout as a peripheral neurosis / by Willoughby Francis Wade. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    swelling still remained over its distal part. The upper portion lay in a part which had not been red, swelled, or painful. We have now to determine the anatomical seat of this tenderness. If we refer to Swan's Demonstration of the nerves of the human body, we find (plate xxiv, fig. 2,) a nerve which he describes thus No. 4 Inner division of the dorsal branch of the peroneal nerve, giving filaments to the foot, the inner side of the great toe, the outer side of the second and the inner side of the third toes. But if we look again at Swan's plate we find that the nerve No. 4 divides just at tlie middle of the lower border of the anterior annular ligament into two branches. Of these one runs slantingly across the foot to the base of the great toe and it is this branch which is distributed to the great toe. The other branch is distributed to the other toes. According to this authority then, this nerve follows a course which coincided with the line of tenderness, the breadth of which, so far as we