Observations on contraction of the fingers : (Dupuytren's contraction) and its successful treatment by subcutaneous divisions of the palmar fascia, and immediate extension. Also on the obliteration of depressed cicatrices after glandular abscesses, or exfoliation of bone by a subcutaneous operation / by William Adams.

  • Adams, William.
Date:
1879
Catalogue details

Licence: Public Domain Mark

Credit: Observations on contraction of the fingers : (Dupuytren's contraction) and its successful treatment by subcutaneous divisions of the palmar fascia, and immediate extension. Also on the obliteration of depressed cicatrices after glandular abscesses, or exfoliation of bone by a subcutaneous operation / by William Adams. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    CONTENTS. DUPUYTREN'S CONTRACTION OF THE FINGERS. Contraction of fingers from a variety of causes . . .1 DupuyLren's finger contraction . . . . .1 Pathology ........ 3 Biipuytren's account and his dissection . . . .3 Goyrand's account and his dissection .... 5 Vartridge s dissection in King's College Museum . . . G Dissection in Museum of St. Bartholomew's Hospital . . 8 The Author''s Case, in which the parts were exposed by an accident 11 All dissections prove that the flexor tendons are not involved in the contraction . . . . . . .12 This opinion also confirmed by clinical experience . . .12 Sir William Fergusson's opinion as to the structures involved . 13 Anatomical impossibility of the flexor tendons being involved in the contraction . . . . . . .14. Origin and progress of the contraction—three stages; thickening and induration generally commencing in one of the four primary divisions of the palmar fascia in the palm of the hand 17 Commencement in digital prolongations of the fascia in some- cases ......... 18 Local causes—Sir James Paget's opinion ; Sir William Fergusson's opinion . . . . . . . . 19 Constitutional causes—Sir James Paget's opinion . 20 The Author's opinion that it essentially depends upon a gouty diathesis—reasons for this opinion. .... 22 Tkeatment ........ 23 Gradual mechanical extension ..... 23 Operations by open-wound ...... 24 Dupuytren's operation in the year 1831 .... 24 Goyrand's operation ....... 29