. American practice of surgery ; a complete system of the science and art of surgery . ossibility of coincidentinvolvement of bursa and joint in dis-ease of either should be borne in —In a valuable paper onthis subject Lund * has described hisexperience in three cases. In all in-stances incision and drainage gave im-mediate relief. He advises a verticalincision just below Pouparts ligament,the point of the knife passing betweenthe anterior crural nerve and the fem-oral artery. The ilio-psoas musclemay be drawn inwaid, or its fibresmay be separated by blunt dissectionin the line
. American practice of surgery ; a complete system of the science and art of surgery . ossibility of coincidentinvolvement of bursa and joint in dis-ease of either should be borne in —In a valuable paper onthis subject Lund * has described hisexperience in three cases. In all in-stances incision and drainage gave im-mediate relief. He advises a verticalincision just below Pouparts ligament,the point of the knife passing betweenthe anterior crural nerve and the fem-oral artery. The ilio-psoas musclemay be drawn inwaid, or its fibresmay be separated by blunt dissectionin the line of Treatment.—Such simple drainage of the bursa until its cav-ity has become obliterated will suffice for a cure in uncomplicated cases. Incases where the infection involves the hip-joint as well, extension of the legand other well-recognized orthopedic measures should supplement the drainage. * F. B. Lund: The Ilio-Psoas Bursa. Its Surgical Importance, and the Treatment of ItsInfiammatory Conditions, in the Boston Med. and Surg. Jour., Sept. 25th, Fig. 34.—Tlie Anatomy of tlie Ilio-PsoasBursa. (From Dr. F. B. Fund.) A, Poupartsligament; B, anterior crural nerve; C, ilio-psoas bursa; D, femoral artery; E, femoralvein; F, sartorius muscle. SURGICAL DISEASES OF THE l:XTHEMITIES. rys ^•J^ ALU 0 Infections of the Fingers and Hands.—Though the inoitulity due to infec-tious processes starting in the hand—more coninioiily Iclcrrcd to as septic hands—is not \crv ij;rcat, the iiiorhitHty (Uic to ciipiihnu- of lliiucis oi hands, cv to th(^loss of either, is, howeve-r, c xcccihngly large. Such infections occur most fre-ciuently among the middleclasses—that is. in those whoar(^ dc^pcndent in the largestmeasure for their livehhoodupon the use of their high morbidity is notby any means ahva}s due tothe fact that the patient goesto the surgeon too late inthe disease to get the bestresult of his treatment, forbad results are also se
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1906
