. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. diagnosis oftendinous whitlow could be made from the severityof the symptoms; from the complete loss of move-ment in the thumb, the great pain on pressure overthe course of the tendon, the swelling and redness ofthe ball of the thumb, and the discharge of pus fromthe fistula on pressure over this part. The tendonsheath of the little finger was unaffected, and therewas no sign of abscess above the wrist. Under an anaesthetic an incision was made alongthe whole of the terminal phalanx a
. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. diagnosis oftendinous whitlow could be made from the severityof the symptoms; from the complete loss of move-ment in the thumb, the great pain on pressure overthe course of the tendon, the swelling and redness ofthe ball of the thumb, and the discharge of pus fromthe fistula on pressure over this part. The tendonsheath of the little finger was unaffected, and therewas no sign of abscess above the wrist. Under an anaesthetic an incision was made alongthe whole of the terminal phalanx and pus evacuatedfrom the tendon-sheath. A second incision wasmade in the palm, a little below the wrist, and thetendon-sheath opened again at this point. By thismeans the suppuration ceased and infection of thetendon-sheath of the little finger was avoided. As thetendon of the thumb was already partly destroyed,the end joint remained functionless. In spite of acertain degree of contracture, the patient coulduse the thumb, by movement at the metacarpo-phalangeal joint. 236 Bockenheimer, Atlas. Tab. ti3 o n c
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