Operative surgery, for students and practitioners . ation at the wrist-joint (Du-brueil), back view. The branches of the radial and ulnar arteries must be clampedand ligated before the tourniquet is removed. The edges of the flaps are brought together with interruptedcatgut sutures, the stump being thus covered by the strong palmarintegument, and the suture line upon the posterior edge of thestump free from pressure, etc. AMPUTATIONS, RESECTIONS, ETC. 725 If the condition of the integument of the palm of the liand issuch that the longer flap cannot be taken from this part of thehand, then one
Operative surgery, for students and practitioners . ation at the wrist-joint (Du-brueil), back view. The branches of the radial and ulnar arteries must be clampedand ligated before the tourniquet is removed. The edges of the flaps are brought together with interruptedcatgut sutures, the stump being thus covered by the strong palmarintegument, and the suture line upon the posterior edge of thestump free from pressure, etc. AMPUTATIONS, RESECTIONS, ETC. 725 If the condition of the integument of the palm of the liand issuch that the longer flap cannot be taken from this part of thehand, then one may get a sutliciontly long flap from the posteriorsurface, or two flaps of equal length, one from the anterior and onefrom the posterior surface of the hand may be made. Surgical Anatomy of the Wrist-joint.—The wrist-joint is formedof the first row of the carpal bones in order, from without inward,scaphoid, semilunar, and cuneiform, and of the lower extremities oftlie radius and ulna. The three carpal bones are united to each other, and present. Fig. 326.—Stump Result of Exarticulation of the Hand at theCarpo-metacarpal Joint. one continuous surface, smooth, covered with articular cartilage,and convex from side to side and from before backward. The outerextremity of this surface slopes downward to a much lower leveltJian the inner extremity. The articular surface presented by the lower ends of the radiusand ulna is concave in order to accommodate the convex articularsurface of the upper row of carpal bones. This radio-ulnar articularsurface is directed obliquely downward externally, so that the outer,or radial, end is a considerable distance below the level of the inner,or ulnar, end, and is continuel into the external styloid process, tothe tip of which the external lateral ligament is attached: the inner. 736 UPPER EXTREMITY. 01 ulnar, side of this radio-ulnar articular surface presents the innerstyloid process, prolonged from the lower end of the ulna. The tipof this pr
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Keywords: ., bookauthormcgrathj, bookcentury1900, bookdecade1910, bookyear1913
