Licence: Public Domain Mark
Credit: Malformation of arm / by Allen Sturge. 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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![Reprinted from the* Transactions of the Pathological Society of London’ for 1880.] i^>. Malformation of arm. By Allen Sttjbge, M.D. Heebebt A—, ret. 22, admitted as a patient at the Royal Free Hospital for some trifling ailment, presented a congenital deformity of the left arm, belonging to the class of malformations which have generally been described as due to intra-uterine amputation. Family history.—His father, who was a healthy man, died at the age of 71. His mother living and healthy. She asserts that when pregnant with the patient, she was frightened by a man who had lost an arm, and who ran after her in a wood. The patient has a bi other and three sisters, all of whom are healthy and present no deformity of any kind. A brother, a soldier, died of “ tumour of the brain.” Two other children died in infancy. The patient is a very fine man, his height being 6 ft. 3| in., and he is well made in all respects except the deformity of the arm. The greater part of the left forearm and the hand are absent, the forearm ending in a somewhat conical stump about three inches below the elbow-joint. Both the radius and the ulna are present in this stump, the upper extremities of these bones being apparently normal. The lower end of the bones, which apparently do not articulate with one another, taper off into points, the tapering ex- tremity of the radius being rather longer and more sharply pointed than that of the ulna. Over the end of the radius the skin forms a conical projection, the size of a hazel nut, which stands out pro- mmeutly from the general surface of the stump. There is no adhesion between the skm and the bone. The skin over the end of the ulna is um hi heated, the result, apparently, of adhesion of the subcutaneous tissue to the end of the bone. The skin over the end of the radius presents two faint whitish lines at right angles to one another, one them being about half an inch and the other about a quarter of T\Th6Se ^Tt0be0ld c!catHc- T1— o«ier cicatrices on the stump, which have the appearance of having resulted 2](https://iiif.wellcomecollection.org/image/b22457951_0003.jp2/full/800%2C/0/default.jpg)