On contractions of the fingers (Dupuytren's and congenital contractions) and on "hammer-toe" . ther three fingers are alsosomewhat flexed. It is remarkable that in the samelecture two excellent illustrations are given (Fig. 60and 61) of a case which Mr. Tamplin considered to be anon-congenital contraction of the skin in the length ofthe fingers in an adult (see Fig. 19), but I have not theleast doubt that this was a congenital case, with fascialand skin contraction coming on at a late period; oneof the exceptional class of cases I have described asreaching the third stage of this form of contr
On contractions of the fingers (Dupuytren's and congenital contractions) and on "hammer-toe" . ther three fingers are alsosomewhat flexed. It is remarkable that in the samelecture two excellent illustrations are given (Fig. 60and 61) of a case which Mr. Tamplin considered to be anon-congenital contraction of the skin in the length ofthe fingers in an adult (see Fig. 19), but I have not theleast doubt that this was a congenital case, with fascialand skin contraction coming on at a late period; oneof the exceptional class of cases I have described asreaching the third stage of this form of contraction,and of which an exact counterpart may be seenillustrated in Fig. 17. * Lectures on tbe Nature and Treatment of Deformities, by R. London: Longmans and Co., 1846. 106 CONGENITAL CONTRACTION OF FING-EES. Against this theory it may be urged that there is noappearance of congenital skin contraction, or the form-ation of a longitudinal web in the finger, when seen inearly childhood. I have casts taken from young chil-dren that show the transverse creases on the palmar Fig. Case recorded by Tamplin as non-congenital contraction of tlie skin.*—n, central flatband of skin and fascia in front of the first and second plialanges. aspect of the phalangeal articulations as well defined asthey naturally should be. At a later period, when thesecond stage—viz., that of confirmed contraction—hasbeen reached, the skin appears to be short, and a * In Fig. 19 the frout and side views represented in Fig. 60 and 61,Tamplin, are combined to show the finger contraction as well as the centralbands of fascia in front of the phalanges. ETIOLOGY. 107 longitudinal web becomes apparent when an attemptis made to straighten the finger. It is, I think, fromcases in this stage that the opinion must have beenformed, but I have no doubt that the skin contractionis a secondary affection, and with it also the terminalcutaneous filaments of the fascia, become only defect whi
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