A case of rupture of the internal and middle coats of the popliteal artery, and complete rupture of the popliteal vein, for which primary amputation of the thigh was successfully performed : with remarks / by Walter Rivington.

  • Rivington, Walter, 1835-1897
Date:
[1878]
Catalogue details

Licence: Public Domain Mark

Credit: A case of rupture of the internal and middle coats of the popliteal artery, and complete rupture of the popliteal vein, for which primary amputation of the thigh was successfully performed : with remarks / by Walter Rivington. 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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    r/vw/////c-British Mkuical Jqijrnal, 7««. 12///, 1S78.] (9 A CASE OF RUKFtm£_aF-trHE INTERNAL AND MIT3DLE COATS 6F TriE POPLITEAL ARTERY, AND COMPLETE RUPTURE OF THE POPLITEAL VEIN, FOR WHICH PRIMARY AMPUTATION OF THE THIGH WAS SUCCESSFULLY PERFORMED: WITH REMARKS. By WALTER RIVINGTON, M.S.Lond., F.R.C.S.Eng., Surgeon to the London Hospital. The cf mparative rarity of partial rupture of the popliteal artery will, I hope, impart sufficient interest to the following case to justify me in bringing it under the notice of the British Medical Association. The particulars of the case are these. James Collins, aged 19, a muscular well built young man, of fair complexion, was sitting on the front seat of an omnibus ; the retiring angles of his knees were in close correspondence with the projecting edge of the seat. A runaway horse and cait came rushing up and dashed into the omnibus. The cart was a railway cart with a high curved cover, and one corner of this cover struck against the patient's left knee and drove it backwards, so that the recess of the popliteal space must have come violently into contact with the edge of the seat. The patient was admitted into the London Hospital on Friday, May 8ih, 1874, at 7.30 P.M., shortly after the accident. The left knee showed signs of severe contusion ; but, on examination, Mr. Bowkett, the house-surgeon, did not detect any abnormal mobility. There was no evidence of a dislocation. There was not much effusion into the cavity of the joint, and the patient could bend it with only a slight amount of pain. The right knee was bruised. By 9 p.m., the swelling had greatly increased, and the patient complained of partial loss of sensation below the middle of the leg. On measurement, the circum- ference of the left limb, three inches above the upper border of the patella, was found to be seventeen inches, whilst that of the other side was only thirteen inches. At 11 a.m., the next morning, he was seen by myself. Great swelling existed above and below the left knee for