The surgeon's handbook on the treatment of wounded in war : a prize essay . then freely opened(fig. 336). NB. The drawing shews the dis-articulation for the ring fingerAvith two lateral flaps, and theoval incision for the middlefinger. Fig. 337. d. Disarticulation of the thumb at the carpo- metacarpal joint. a. By the oval incision. 1. The first incision begins on the ulnar side of the first phalanxon a level with the web, and is carried obliquely over the metacarpo-phalangeal joint as far as the radial side of the metacarpal bone, andis continued along the same side to its base. 2. The second
The surgeon's handbook on the treatment of wounded in war : a prize essay . then freely opened(fig. 336). NB. The drawing shews the dis-articulation for the ring fingerAvith two lateral flaps, and theoval incision for the middlefinger. Fig. 337. d. Disarticulation of the thumb at the carpo- metacarpal joint. a. By the oval incision. 1. The first incision begins on the ulnar side of the first phalanxon a level with the web, and is carried obliquely over the metacarpo-phalangeal joint as far as the radial side of the metacarpal bone, andis continued along the same side to its base. 2. The second incision, start-ing from the same point, is car-ried round on to the radial side,and meets with the first at themiddle of the metacarpal bone(fig- 337). 3. By repeated incisions onthe bone in the same directionit is liberated from the muscles. 4. The joint between the trapezium and the metacarpal bone isopened on the ulnar side, so that the edge of the knife is keptclose upon the base of the latter, and thus the joint between the meta- Esmarch, the Surgeons Handbook. 13. w carpal bone of the index finger and the trapezium, which communi-cates with the remaining carpal joints, is in no danger of being opened. 5. The division of the ligaments on the radial side of the joint(fig. 338) completes the operation, which leaves a linear cicatrix(fig. 339). Fig. 338. Fig. 339.
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Keywords: ., book, bookcentury1800, booksubjectwoundsandinjuries, bookyear1884
