. General surgical pathology and therapeutics, in fifty lectures : a textbook for students and physicians. thesynovia, secreted from the sheath of the tendon, for facilitating themotion of the tendon, and in abnormal distention of the sac. Thesheaths of the tendons of the hand are most frequently is a gradual formation of a swelling in the hollow of the handand lower end of the volar side of the forearm; and we may distinctlyfeel the passage of a fluid in the sheath of a tendon from the vola33 196 TREATMENT OF GANGLION. manus to the forearm, under the ligamentum carpi volare and
. General surgical pathology and therapeutics, in fifty lectures : a textbook for students and physicians. thesynovia, secreted from the sheath of the tendon, for facilitating themotion of the tendon, and in abnormal distention of the sac. Thesheaths of the tendons of the hand are most frequently is a gradual formation of a swelling in the hollow of the handand lower end of the volar side of the forearm; and we may distinctlyfeel the passage of a fluid in the sheath of a tendon from the vola33 196 TREATMENT OF GANGLION. manus to the forearm, under the ligamentum carpi volare and backagain. The fingers are generally flexed and cannot be fully extended;the movements of the hand and fingers are somewhat limited; thereis not necessarily any pain, and the patients do not usually apply toa surgeon till the disease has attained a high grade. Another form of this disease is partial hernial ectasia of the sheathof the tendon, with dropsy. On the sheath there forms a sac-like pro-trusion, about the size of a pigeons egg, containing an abnormalamount of synovia of the sheath. Fig. Diagram of the ordinary ganglion, a, tendon; 6, sheath of the tendon with dropsical hernialprotrusion upward; c, skin. In ordinary surgical language this is called a ganglion when itcomes on the back of the hand. It is of far more frequent occurrencethan dropsy of the whole sheath of the tendon, but it only comes atcertain places. Ganglia are most common on the dorsal surface of thewrist, where they arise from the sheaths of the extensor tendons; theyare more rare on the volar surface of the hand and higher up the fore-arm, rarer still on the foot, where I have found them most frequentlyon the sheaths of the peroneal tendons. These ganglia usually con-tain a thick, mucous, vitreous-looking jelly. The contents of previous-ly-described extensive exudations in the sheaths of the tendons mayalso consist of clear jelly; but frequently there are also innumerablewhite bodies, like melon-
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Keywords: ., bookcentury1800, bookdecade1870, booksubjecttherapeutics, bookyea
