Volume 1
A manual of operative surgery / by Frederick Treves.
- Sir Frederick Treves, 1st Baronet
- Date:
- 1891
Licence: Public Domain Mark
Credit: A manual of operative surgery / by Frederick Treves. Source: Wellcome Collection.
789/808
![prominent and cord-like ilio-tibial band divided in the place of the bier]is. In some thin and muscular subjects the lower portion of this fascial band may feel very tendon-like. Numerous contracted bands of fascia may come into view after tenotomy of the biceps for contracted knee. Some may need division. They are, however, better left alone, as they usually yield under extension, and in dealing with them by tenotomy unexpected vessels may be wounded. Semi-tendinosus and Semi-membranosus. — The same observations as have been applied to the biceps apply generally to these tendons. They are most conveniently divided exactly opposite the spot selected for tenotomy of the biceps. The tenotome is introduced upon the outer side of the tendon, and is passed beneath it. The steps of the little operation need not be repeated. In one case Mr. Jacobson met with most profuse haemorrhage in dividing the semi-membranosus tendon in a girl of sixteen. He considered that the bleeding—which was checked by pressure—proceeded from the superior internal articular artery. TREATMENT OF DUPUYTREN'S CONTRACTION. The exact anatomy of the palmar fascia should be borne in mind, and especially the manner in which the digital processes of the fascia are disposed of, and the connections of the ultimate slips of the fascia with the integument of the fingers. The pathology of Dupuytren's contraction need not here be dwelt upon. It is for the relief of this condition that division of the palmar fascia is usually practised. There are two methods of dealing with the contracted bands—the subcutaneous method and the open method. They are illustrated by the two operations described below 1. Adams' Operation.—This consists in the division of t the bands of fascia by the subcutaneous method, the sections being made at many points. The treatment of Dupuytren's contraction by subcutaneous division of the bands of fascia x x](https://iiif.wellcomecollection.org/image/b20414663_001_0789.jp2/full/800%2C/0/default.jpg)
