File:Text-book of operative surgery (1903) (14762054144).jpg

Identifier: textbookofoperat1903koch (find matches)
Title: Text-book of operative surgery
Year: 1903 (1900s)
Authors: Kocher, Theodor, 1841-1917 Stiles, Harold J
Subjects: Surgery, Operative Surgery
Publisher: London : Adam and Charles Black
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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Text Appearing Before Image:
Fig. 147.—Exposure of the internal saphenous nerve at the internal condyle of the femur. 247. External Cutaneous Nerve of the Thigh (Fig. 145). Incision throughskin and fascia parallel to Pouparts ligament a fingers breadth below the anteriorsuperior iliac spine. The nerve lies under the fascia, 2 cm. (f in.) below the spine, anddescends obliquely downwards and outwards either at the outer edge of the origin ofthe sartorius, or over its anterior surface. The operation may be indicated inBernhardts meralgia paraesthetica. 324 (1) ; Gluteus maximus m—iGreat sciatic n ! Adductor magnus m— Biceps m.-— Small sciatic n. — (2)Semitendinosus n: Small sciatic nSemimembranosus m Great sciatic n. (spread out) Prominence of biceps m
Text Appearing After Image:
/ Prominence of inner( hamstrings. Comm. fibularis nInsertion to head of fibula. Gastrocnemius m. (outer head.). Fascia lata. Fig. 148.—(1) Great sciatic nerve at the fold of the buttock. (2) The same in the middle of the thigh.(3) External popliteal and musculo-cutaneous nerves. LOWER EXTREMITY 325 Thigh—Posterior Surface 248. Great Sciatic Nerve (Fig. 148). For its exposure where it enters the buttock,see ligature of sciatic artery (Fig. 140). To expose it at the xupper Pari °f ^ie thigh, a vertical incision is made descendingfrom the fold of the buttock from a point midway between the tuber ischii and theposterior border of the great trochanter. After division of the skin and fascia, thelower border of the gluteus maximus is exposed and drawn upwards so as to exposethe outer edge of the biceps, which runs obliquely downwards and outwards. Betweenthe fascia lata and the biceps is the small sciatic nerve. The large trunk of the greatsciatic nerve lies deeper under the outer edge

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