Handbook of surgical anatomy / by G.A. Wright and C.H. Preston.

Date:
1905
Catalogue details

Licence: In copyright

Credit: Handbook of surgical anatomy / by G.A. Wright and C.H. Preston. 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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    place almost entirely at the lower epiphysial junction. Hence, unless the extent of the disease demand it, the femur is never divided above the epiphysis in excision of the knee. In the ordinary operation of osteotomy the bone is divided well above this line, and growth is not arrested. The head of the fibula is prominent at the Head of . fibula posterior part of the outer aspect <ot the leg just below the knee joint, on a level with the anterior tubercle of the tibia. The external popliteal nerve winds round the outer surface of the neck of the bone, and is here liable to strain and contusion. The anterior border and internal surface of the Tibia tibia are subcutaneous and often the seat of trau- matic nodes. The fascia of the leg receives part of the inser- Nerve distribution tion of the sartorius, the gracilis, and the semi- tendino'Sus, and this fact is used by Mr. Hilton to illustrate his law of associated nerve distribution to muscle, skin, and joint, i.e., there are distributed over the skin covering this fascia branches derived from the anterior crural or extensor, the obturator or adductor and the sciatic or flexor nerves. The bursa which intervenes between the expanded Bursa insertion of the sartorius and the underlying tendons of the gracilis and semitendinosus may be enlarged and form a swelling over the upper part of the internal surface of the tibia. The line of the anterior tibial artery is from a Anterior tibial artery- point midway between the outer tuberosity of the