. Operative surgery. ONES. 401 Imlf an inch Mow the radio-carpal line. The bones are firmly boundtogether by strong ligaments admitting of but limited movement be-tween their surfaces (, 415). They are in closerelation to the tendons of im-portant muscles, which shouldbe scrupulously preserved to-gether with their sheaths (). All diseased or detachedbone should be removed. Ifa portion of a carpal bone bediseased it is better that theentire bone be removed. Theinsertions of the muscles actingon the carpus should be pre-served if possible. It there-fore becomes necessary for thesu


. Operative surgery. ONES. 401 Imlf an inch Mow the radio-carpal line. The bones are firmly boundtogether by strong ligaments admitting of but limited movement be-tween their surfaces (, 415). They are in closerelation to the tendons of im-portant muscles, which shouldbe scrupulously preserved to-gether with their sheaths (). All diseased or detachedbone should be removed. Ifa portion of a carpal bone bediseased it is better that theentire bone be removed. Theinsertions of the muscles actingon the carpus should be pre-served if possible. It there-fore becomes necessary for thesurgeon to carefully observethe relations of important ten-dons, vessels, and nerves tothe structures to be removed in order to secure the best re- -^ .-n o • i i, ^J.^. ,, rm , ? 1 Fig. 413.—Synovial membranes of the carpus. suits. The trapezium, because of its relation to the thumb and the bases of the metacarpal bones of the index, middle, and little fingers, on account of the important muscles inserted there-.


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Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900