Plastic surgery; its principles and practice . Fig. 202.—Congenital contracture of the ring and middle fingers of one hand. Male,aged 6 years.— i. The limit of extension before operation is shown. 2. The amount ofextension possible after liberation of all binding tissues and the implantation of whole-thickness Fig. 203.—Congenital contracture of the fingers of the left hand. Male, aged 20years.—Note the difference in the extension as compared with the other hand. Inthis case there was great shortening of the skin and underlying tissues. The first phalan-geal joint surfaces were also d
Plastic surgery; its principles and practice . Fig. 202.—Congenital contracture of the ring and middle fingers of one hand. Male,aged 6 years.— i. The limit of extension before operation is shown. 2. The amount ofextension possible after liberation of all binding tissues and the implantation of whole-thickness Fig. 203.—Congenital contracture of the fingers of the left hand. Male, aged 20years.—Note the difference in the extension as compared with the other hand. Inthis case there was great shortening of the skin and underlying tissues. The first phalan-geal joint surfaces were also distorted from long continued flexion. When more than twofingers are involved it is advisable to operate on only one, or possibly on two fingers, atone time. The second stage shows confirmed contracture with hyperextensionof the first phalanx. The second and third phalanges are flexed in thesame line, more or less rigidly upon the first. The finger cannot be MALFORMATIONS 247 straightened even with moderate force. There is no evidence of mus-cular contracture, but in most cases some contracted bands of fasciamay be detected. The skin also seems to be contracted, and thearticular ligaments are shortened by the long continued flexion. Laterprogressive contracture of the little finger is likely to occur, and ot
Size: 1759px × 1420px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky