File:A text book of operative surgery and surgical anatomy (1878) (14764256892).jpg

Identifier: textbookofoperat00bern (find matches)
Title: A text book of operative surgery and surgical anatomy
Year: 1878 (1870s)
Authors: Bernard, Claude, 1813-1878 Huette, Ch. (Charles) Norton, Arthur T. (Arthur Trehern), 1841-1912
Subjects: Surgery, Operative Surgery, Operative Surgical instruments and apparatus Surgical Procedures, Operative Surgical Instruments Surgical Equipment
Publisher: London : Baillière, Tindall, and Cox
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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the axilla. 2. Oval method. (Figs. 5, 6.) (1.) Make a vertical incision on the outer side of the shoulder, including all the tissues, as far as the bone commencing at the border of the acromion process, and terminating one inch and a quarter below the level of the anatomical neck of the humerus. (2.) Next make two oblique incisions, starting from the first,which, the one anterior and the other posterior, shall cut re-spectively the integuments and fleshy parts of the anterior andposterior walls of the axilla, close to their humeral insertions. (3.) Turn aside the tissues and open the joint, at the san>etime drawing lightly upon the bone, so as to separate the headfrom the glenoid cavity. (4.) Luxate the bone, passing the knife behind it, and com-plete the operation by cutting the tissues which con-espond tothe .)nt of the axilla, and in which are contained the axillaryvessels compressed by the hand of the assistant. The woundresulting from this operation is a veritable oval. PL 2:
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F •,. R AND SURGICAL ANATOMY. 60 PLATE XXIII.DISARTICULATION OF THE TOES. Anatomy. Fig. 1.—Osteology of the foot—dorsal surface.—a and 6, inferiorextremities of the tibia and fibula ; c, astragalus ; d, os calcis ;e, scaphoid ; /, cuboid ; g, internal cuneiform ; li, middle cunei-form ; i, external cuneiform ; 1, 2, 3, 4, 5, first, second, thiid,fourth, and fifth metatarsal bones ; Ic^ phalanges. Fig. 2.—Ligaments in the dorsal surface of the foot.—a, a,anterior tibio-astragaloid ; h, anterior fasciculus of externallateral ; c, internal calcaneo-scaphoid ; d, calcaneo-astragaloid ;e, superior astragalo-scaphoid ; /, superior calcaneo-cuboid ; g,g, g, scapho-cuneiform ; h, cubo-metatarsal ; i, i, i, cuneo-meta-tarsal; k, metatarso-phalan^eal articulations; I, lateral ligamentsof the phalangeal joints. Fig. 3,—Horizontal section of tlie tarsal iones; inter-osseousligaments. Operations. Fig. 4.—Disarticulation of the first and third toe.—a, h, c,

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