This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1903 Excerpt: ... hand is held firmly upon a table, with the radial side uppermost. An incision is made along the outer side of the metacarpal bone, and is so placed as to lie over the lateral border of the bone and to be upon the anterior or palmar side of the extensor tendons. The incision is carried in one direction over the ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1903 Excerpt: ... hand is held firmly upon a table, with the radial side uppermost. An incision is made along the outer side of the metacarpal bone, and is so placed as to lie over the lateral border of the bone and to be upon the anterior or palmar side of the extensor tendons. The incision is carried in one direction over the metacarpophalangeal joint, and in the other over the trapezium (Fig. 63, D). In dividing the soft parts, care is taken to avoid the branch from the radial nerve to the outer side of the thumb. The bone is exposed, and the separation of the periosteum is commenced at the centre of the shaft. Small rugines are required, the surgeon using at first a straight one and afterwards a curved instrument. The soft parts are cleared up to the head of the bone, where the structures of the joint are separated and the head of the bone is made free. This end--quite stripped--is made to protrude through the wound, and is seized and held by lion forceps. The surgeon then proceeds to decorticate the rest of the bone as far back as the proximal joint. The muscular attachments are separated with the periosteum, and the whole bone is removed. It will be obvious that this subperiosteal method can only be carried out in quite exceptional circumstances, and in young subjects. Whether the subperiosteal method be pursued or not, the steps of the operation will be the same. 5. Metacarpal bones of the fingers.--An incision is so made along the dorsal aspect of the metacarpal bone as to avoid the extensor tendons. The bone is exposed, and the centre of the shaft is well cleared. Around this portion of the bone--when entirely freed--a much-curved director is passed, and the bone is divided by means of cutting forceps. Each divided end can now in turn be seized with lion forceps, b...
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Seller's Description:
G. A good copy, in greeny-brown cloth with faded gilt lettering on spine, which has scuffing and splits to cover edges. po presentation lablel on front pastedown. Kings College London-George Augustus Roberts as a prize for obstetric medicine July 1896. Immediate despatch from the UK. 12mo. HB.