Surgery; its theory and practice . IAL AND ULNAR ARTERIES may be tied for—i, aneurysm of either ves-sel, or, 2, wound of the palmar arch ;but it is a question whether ligature ofthe brachial is not preferable in thelatter case, as the anastomosis between the radial and ulnar and the carpal and interosseous arteries is sofree (Fig. 102). Both arteries in the case of a wound of thepalmar arch need to be tied. This is best done at thezorist, wherethey are superficial and can be felt pulsating. The radial lies be-tween the supinator longus and the flexor carpi radialis ; the ulnarbetween the inner
Surgery; its theory and practice . IAL AND ULNAR ARTERIES may be tied for—i, aneurysm of either ves-sel, or, 2, wound of the palmar arch ;but it is a question whether ligature ofthe brachial is not preferable in thelatter case, as the anastomosis between the radial and ulnar and the carpal and interosseous arteries is sofree (Fig. 102). Both arteries in the case of a wound of thepalmar arch need to be tied. This is best done at thezorist, wherethey are superficial and can be felt pulsating. The radial lies be-tween the supinator longus and the flexor carpi radialis ; the ulnarbetween the innermost tendon of the flexor sublimis digitorumand the flexor carpi ulnaris, by which latter tendon it is slightlyoverlapped. An incision about an inch long through the integu-ments and deep fascia parallel to the course of either vessel, is allthat is necessary to expose them (Fig. 103, g, h). In the case ofthe ulnar, however, the flexor carpi ulnaris may have to be heldaside. The aneurysm needle should be passed from the ulnar to. Lines of incision for ligature ofarteries of the upper extremity. 298 DISEASES OF SPECIAL TISSUES. the radial side to avoid the nerve which Ues to the ulnar side. Inthe case of the radial the needle may be passed either way, as theradial nerve at the wrist is not in contact with the artery. Noharm will ensue if the vense comites are tied with their respectivevessels. The radial artery in the upper third lies deeply betweenthe supinator longus and pronator radii teres. Make an incision(Fig. 103, e) in a line drawn from the middle of the bend of theelbow to half an inch internal to the styloid process of the the muscles and the artery will be exposed. The radialnerve in this situation is some distance to the outer side of theartery. Ligature of the ulnar in the upper third is more difficult,as it lies beneath the superficial flexor muscles. Make an incision(Fig. 103, f) four inches long in a line drawn from the front ofthe internal cond
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectsurgery, bookyear1896
