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.

    25/72 (page 17)
    the site of these two nerves. When there is only one Kne it is commonly, but not invariably, the inner one Between these two lines is to be felt the bone absolutely indolent. No doubt if we press over the joint we shall find tender- ness, because the nerves run across the joint. But we shall also commonly find an equal degree of tenderness in both the distal and the proximal sections of these nerves quite away from the joint. With regard to the tenderness over the superior aspect of the joint enough has been said in speaking of it in acute gout. Only adding that it occurs in the absence of that disorder. The side tenderness I have found not only under the circumstance with which we are now dealing but also on the abatement of acute gout. It is I think probably situated in branches of the peroneal (so called by Swan and by Quain and Ellis external-popliteal) nerve. Or it may be in the saphenous nerve. Probably the former, as it has not appeared to me to have sufficient longitudinal extension to be situated in the latter.