On joint-diseases : their pathology diagnosis and treatment including the nature and treatment of deformities, and curvatures of the spine / by Holmes Coote.

  • Coote, Holmes, 1817-1872.
Date:
1867
Catalogue details

Licence: Public Domain Mark

Credit: On joint-diseases : their pathology diagnosis and treatment including the nature and treatment of deformities, and curvatures of the spine / by Holmes Coote. Source: Wellcome Collection.

    257/348 (page 243)
    SUBCUTANEOUS DIVISION OF TENDONS. 2-13 quantity of blood is extravasated within the sheath of the tendon immediately after the operation ; this becomes absorbed and a new material is effused to unite the divided ends. The blood vessels of the sheath become unusually large and tortuous, and continue so until the process of repair is effected. But this new material never acquires the colour and all the characteristics of the original tissue. The repaired tendon may appear externally the same; but its longitudinal section shows the exact line between the old and recent tissues. Should the divided tendon thus examined present no trace of new tissue, then we must presume that the divided ends have been brought together by contraction into linear apposition. The new material may become elongated and very thin, as seen in a specimen presented to the hospital by Mr. W. Adams. Parts of the tibialis posticus and flexor longus digitorum of a child in whom the tendons of these muscles were divided a short time before death. The ends of the divided tendons, retracted about two lines asunder, are united by a slender bond of new formed substance. (Ser. V., No. 25). In the event of the extension being carried on more slowly, the connecting material is thicker and firm, as in the'par- ticulars of a case reported by me in the 'Medical Times and Gazette.' An undersized man, aged thirty-eight, suffering from lateral curvature of the spine and talipes equinus of both lower extremities, a cripple, unable to .put his foot to the ground, was admitted in the month of August, ]^r>7, into the Royal Orthopcedic Hospital. The right tendo Achillis was divided August 27th, the left Sep- tember 30th. A Scarpa's shoe was applied on either foot, and the heels were well brought down by the end r 2