Backward dislocation of the fingers upon the metacarpus / by William H. Battle.

  • Battle, William Henry, 1855-1936.
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: Backward dislocation of the fingers upon the metacarpus / by William H. Battle. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    finger in two instances, and was led to inquire into the subject. The result, with some references, was given in the reprint to which attention was directed in the Lancet.* The general conclusions to which he came receive additional confirmation from the success attending the treatment of the following cases, and from the more recent writings on the subject, to which I propose to refer later. It was not long before another, but more serious case, was brought to me by Mr. K. Andrews. As this was one which had been done some considerable time, and would eventually require more serious measures to effect reduction, he was admitted under the care of Mr. Mackellar, who kindly gave me permission to treat him. Case 2.—J. H , aged eight, was admitted on Oct. 20th, 18S6, having been unable to flex the left forefinger since a fall on the hand, when the fingers were outstretched, between seven and eight weeks before admission. Since the accident several un- successful attempts had been made to reduce the displacement. On the afternoon of admission, chloro- form was administered and an attempt made to reduce the dislocation, but without success. An attempt was then made to reduce it after subcu- taneous section of the glenoid and internal lateral ligaments; this was also unsuccessful. A lateral incision was then made along the outer side of the joint, and another shorter one at right angles to it, and the interior of the joint exposed. Considerable changes had taken place in the joint, the head of the metacarpal presenting, instead of the usual shining cartilaginous appearance, a dull fibrous, roughened • Vol ii, 1886, p. 1190.