The relation of gout and rheumatism to Dupuytren's contraction of palmar fascia, with results of treatment by Adams' operation : being a thesis for the M.B. degree at Cambridge University / by Charles Edward Hedges.
- Hedges, Charles Edward, 1866-
- Date:
- [1897]
Licence: Public Domain Mark
Credit: The relation of gout and rheumatism to Dupuytren's contraction of palmar fascia, with results of treatment by Adams' operation : being a thesis for the M.B. degree at Cambridge University / by Charles Edward Hedges. 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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![111 Hutchinson s Archives appear some valuable cases in sup|)ort of the hereditary and gouty origin of the disease. Hi 1891, vol. ii. p. 52, he points out several cases in support of its hereditary character and its association with fibrous indura- tion and contraction of other parts of the body, such as the penis and ])lantar fascia. He quotes a case of Gaubius A uian had contraction of his little finger, caused by a tense band of fascia going to tliat digit. The eldest of his two sons, on attaining to the same age as that at which the contraction commenced in his fathers case, became similarly afflicted. The younger brother became similarly affected at the same age in s]iite of preventative measures. Hutchinson says we have liere a good example of wliat is not unfrequently seen in cases of finger contractions ; the condition of health, or per- haps of tissue, giving tendency to it, is unquestionably some- times hereditary, although I think but to a slight degree. It is possible that it is connected with an arthritic diathesis. On page 79 of same volume he quotes a case of Hupu'vtren’s contraction of the little finger in both hands associated with hard fibroid induration and thickening of the plantar fascia. The patient had suffered from chronic rheumatism and his left shoulder was considerably stiffened. Hutchinson says he did not admit a history of gout, but looked a likely subject for it. In Archives for 1894, p. 176. A male, in which the disease was strictly limited to little finger of both hands, for he could straighten ring-finger completely. The contraction was caused by a strong baud of fascia from ulnar border of finger, which passed from its base to its tip. There was a family history of gout, and patient himself had often suffered from that disease. No history of heredity or local cause. In Archives for 1894, p. 333. Three cases of curved penis in association with Dupuytren’s contraction, two of which cases are of rheumatic and one of gouty stock. There was no induration or contraction detected in any way, but on erection the penis became bent with its concavity upwards. Van Buren in 1888, in his Diseases of the Genito-urinary Organs, describes a circumscribed induration of the erectile tissue of the penis, sometimes occurring in erectile tissue, at other times in fibrous envelope of the corpora cavernosa: it occurs after middle life. Although many patients are noted to have gout or rheumatism, he says that the patients are not uniformly subject to any diathetic disease. He also points out the associa- tion of this condition of the penis with the condition known as Dupuytren’s contraction.](https://iiif.wellcomecollection.org/image/b22335390_0010.jp2/full/800%2C/0/default.jpg)
