File:On contractions of the fingers (Dupuytren's and congenital contractions) and on "hammer-toe" (1892) (14783186572).jpg

Identifier: oncontractionsof00adam (find matches)
Title: On contractions of the fingers (Dupuytren's and congenital contractions) and on "hammer-toe"
Year: 1892 (1890s)
Authors: Adams, William, 1820?-1900
Subjects: Hammer Toe Syndrome Dupuytren Contracture Dupuytren's contracture Hammertoe
Publisher: London : Churchill
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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Text Appearing Before Image:
Band ofPalmar Fascia stretching across like string of the bow; &. Plexor Tendons lying deeply alongthe concavity of the curve, close to the bones. Pig. 2.—Another view of same dissection as Fig. 1. showing contraction to depend upon aband of the Palmar Fascia. (From Druitts Surcjeons Fade Meoum. Eleventh Edition, Fig. 301J. & A. Churchill, London, ISZS.) of the hand, the facial band stretching across, likethe string of a bow, and passing along the outerside of the little finger, along the first phalanx, to the beginning of the second. The flexor tendons h,Fig. 1, are in no degree implicated in the contraction,and may be seen deeply in the concavity of the curve 8 DUPUTTEEN S FINGER CONTRACTION. in their normal relation to the bone, i.e., in the densetubular sheath by which they are closely bound downto the phalanges, along their entire length, betweenthe articulations. This dissection has also been figured in Druitts Surgeons Yade Mecum, eleventh edition, p. 301, and FIG. 3.
Text Appearing After Image:
Cast from Hand represented in Figs. 1 and 2, previous to dissection in Museum of Kings College. I am indebted to Dr. Druitt for permission to re-produce it here (see Fig. 2). In this drawing, thedirection and relations of the contracted band ofthe palmar fascia are more distinctly shown, butthe relation of the fascia to the tendons had notthen been demonstrated by dissection. I improved , ST. BABTHOLOMEWS SPECIMEN. 9 tlic dissection to this extent at the time when per-mission was given me by the Museum Committee,in October, 1877, to examine the specimen and havethe present drawing made. In Dr. Druitts woodcutthe artist has failed to reverse the drawing on theblock, so that it has the appearance of being drawnfrom a right hand; but the dissection and the castboth show it to be the left. There is also a cast in the Museum (see Fig. 3),apparently taken from the same subject previous to the dissection, as it corresponds in all respects withthe contraction of the little finger, and shows th

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