The surgeon's handbook on the treatment of wounded in war : a prize essay . EXCISION OF THE ELBOW. Hutetts lateral incisions. 1. A longitudinal incision, 2cm in length, exposes the internal con-dyle: a curved incision below this prominence divides the internallateral ligament. 2. A longitudinal incision on the outer side of the joint, 8 —10cmin length, passes over the external condyle and the head of the radius. 3. The soft parts are retracted, and the external lateral and or-bicular ligaments divided. 256 4. The head of the radius is exposed and removed with the key-hole saw. 5. The insertion
The surgeon's handbook on the treatment of wounded in war : a prize essay . EXCISION OF THE ELBOW. Hutetts lateral incisions. 1. A longitudinal incision, 2cm in length, exposes the internal con-dyle: a curved incision below this prominence divides the internallateral ligament. 2. A longitudinal incision on the outer side of the joint, 8 —10cmin length, passes over the external condyle and the head of the radius. 3. The soft parts are retracted, and the external lateral and or-bicular ligaments divided. 256 4. The head of the radius is exposed and removed with the key-hole saw. 5. The insertion of the capsular ligament is liberated in front andbehind, first from the border of the capitellum, then from the trochlea. 6. By adduction of the forearm the humerus is forced out ofthe wound; by this movement the ulnar nerve slips away from itsposterior aspect. 7. The articular surface of the humerus is removed with the saw. 8. The olecranon is exposed and sawn off. Yfl. EXCISION OF THE SHOULDER. With Langenbeck-s anterior vertical incision (older method). Fig. Excision of the shoulder. With IiANOENBECKS anterior vertical incision. 1. The patient lies upon hisback, with the shoulder raisedupon a pillow; the arm is held,so that the external condyle ofthe humerus is directed forwards. 2. An incision, beginningat the anterior border of theacromion, quite close to its arti-culation with the clavicle, andrunning for 6 —10cm verticallydownwards, divides the deltoidmuscle and reaches the capsuleof the joint and the periosteum(fig. 462). 3. The muscle is retractedon both sides of the incision: thetendon of the long head of thebiceps is seen lying within itssheath (fig. 463). 4. An incision along the outerside of the tendon opens itssheath; the knife is directed up-wards with the back of the bladein the bicipital groove, and divides 257 Fig. 463.
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Keywords: ., book, bookcentury1800, booksubjectwoundsandinjuries, bookyear1884
