Annals of surgery . normally hard and more of a grayish colorthan normal. The wound was packed with iodoform gauze and a small wet anti-septic dressing applied, the hand being kept at rest on a long the packing was removed there was scarcely any pain had not been relieved by the incision. The hand was dresseddaily with wet carbolic compresses (1-60) The following week as the pain and swelling were slowly increasingI thought it better to seek further advice and accordingly consultedDr. William T. Bull. He was inclined to regard the trouble as a periostitis, probably of
Annals of surgery . normally hard and more of a grayish colorthan normal. The wound was packed with iodoform gauze and a small wet anti-septic dressing applied, the hand being kept at rest on a long the packing was removed there was scarcely any pain had not been relieved by the incision. The hand was dresseddaily with wet carbolic compresses (1-60) The following week as the pain and swelling were slowly increasingI thought it better to seek further advice and accordingly consultedDr. William T. Bull. He was inclined to regard the trouble as a periostitis, probably oftubercular nature, and advised waiting for further developments. SARCOMA. 201 As the symptoms continued to increase in severity, I decided tomake a more thorough exploration and on October 14 I gave her etherand enlarged the wound. The metacarpal bone was bared a distance of three-fourths of aninch. The bone itself showed no evidence ot disease, but the peri-osteum was thickened. No collection of pus could be Fig. [.—MiCROSconcAL Appearances Presented by Sarcoma of Metacarpal Bone (Case I.) . The grayish granulations were scraped away and the wound wasdressed with iodoform gauze. The pain was somewhat relieved for aday or two and then returned as severe as before. Although therewas no suppuration the redness and swelling increased. The base ofthe swelling showed no line of demarcation but slowly extended in alldirections, and movements of the fingers became more and more pain-ful. The induration upon the palmar side, which at first was veryslight, had now become well marked and over a small area, one-halfan inch in diameter, the skin was reddened and showed signs ofsoftening. There was also a gradual loss of sensation in the ring and little 202 W. Y. fingers. The pain soon became so severe that I was obhged to givemorphine to secure relief. The increase of pain, the gradual impair-ment of motion, the increasing loss of sensation, together with thegeneral appear
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
