Medical and surgical therapy . ncomplete sec-tion ; it can easily be seen at thepart where the nerve is swollen(fig. 8). When the notch is plainly visibleto the naked eye the nerve oftenhas two swellings, one above andone below the notch (P. Marie andFoix). This is the lesion which Sicardand Jour dan have described underthe name of nodules above andbelow the lesion. From an histological point ofview, the condition is the same asthat described in the case of com-plete section; the wall of the notchitself is composed of very densefibrous tissue. With regard to the substance whichjoins the two sw
Medical and surgical therapy . ncomplete sec-tion ; it can easily be seen at thepart where the nerve is swollen(fig. 8). When the notch is plainly visibleto the naked eye the nerve oftenhas two swellings, one above andone below the notch (P. Marie andFoix). This is the lesion which Sicardand Jour dan have described underthe name of nodules above andbelow the lesion. From an histological point ofview, the condition is the same asthat described in the case of com-plete section; the wall of the notchitself is composed of very densefibrous tissue. With regard to the substance whichjoins the two swollen extremities ofthe nerve in the neighbourhood ofthe cicatrix, this is formed of fibrous tissue, whichwe have already mentioned, and in the more distantparts it shows the same histological characteristicsas those seen in the pseudo-neuroma of attrition(fig. 9). On the strength of these anatomical and patho-logical considerations, Pierre Marie and Foix advisethat the surgeon should carefully preserve this bridge ^ Loc. Fig. 10. Section withpseudo -continuity. a, upper end; b, ir-regular interme-diate segment; c,lower end. (AfterPierre Marie andFoix.) 246 TREATMENT AND REPAIR OF NERVE LESIONS of nerve tissue, and should pare down the ends ofthe two swellings and the wall of the notch, and then suture end-to-end the
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
