British medical journal . b along the radial side of the secondmetacarpel to the base of the lirst two fingers down on to thopalm and no as far as the wrist. The whole hand, excepting thethumb and finger, which wore fairlv movable, was onolarge wound isee Fig. li. The fourth anil fifth fingers withthe metacarpals had been removcd-the thirdfinger was dislocated at the metac:u-po-phalangeal joint, andthe metacarpal bone was fractured. The extensor tendon tothis finger stretched across the dorsal aspict of the wouud as a,slough. The edge aud granulations looked well, there w
British medical journal . b along the radial side of the secondmetacarpel to the base of the lirst two fingers down on to thopalm and no as far as the wrist. The whole hand, excepting thethumb and finger, which wore fairlv movable, was onolarge wound isee Fig. li. The fourth anil fifth fingers withthe metacarpals had been removcd-the thirdfinger was dislocated at the metac:u-po-phalangeal joint, andthe metacarpal bone was fractured. The extensor tendon tothis finger stretched across the dorsal aspict of the wouud as a,slough. The edge aud granulations looked well, there was verylittle discharge, but on pressing tho lower third of the forearm Oct. 20, 1917] TREATMENT OF INFECTED WOUNDS; r lB3bMTi9a ens L Medical JouRKIt J^J some pus escaped from the upper part of the wound. Thewrist-joint was slightly swollen and a little red. There was nooedema. - . Hcdi?.—There was a small penetrating wound over the left,nialiu- bone; looked clean; had been bipped. Patient had a black eve on left Fig, 1.—Condition of hand on admission (Case i). Tliiiih.—Along inner side of left thigh immediately above theinternal condyle of femur there was a clean, granulating wound,about 5 in. by 2 iu. in size ; it liad been bipped. General condition of patient good, but temperature and pulseraised. First Ojieration. On .July 20th the forearm was incised on the palmar surfacejust above the radial side of the wrist-joint; free communica-tion with dorsvunmade. sutures, ymallpiece of loose bonoremoved from leftmalar. July 26th. Tem-perature and pulsestill high (seeChart 3,1. Handfomented; freedischarge of sero-pus. Second Opcrnlioii. On July 27th theupper edge of thedorsal part of thewound was re-flected, and aboutA oz. of thickvellow pus let outs The carpal bones were found to be embedded in pus; allremoved excepting the pisiform, trapezium, and was a tiny erosion of the cartilage over the lo%ver endof the radius. Bippiug. No sutures. Jul
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Keywords: ., bookcentury1800, bookdecade1850, booksubjectmedicine, bookyear185
