On contractions of the fingers (Dupuytren's and congenital contractions) and on "hammer-toe" / by William Adams.

  • William Adams
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: On contractions of the fingers (Dupuytren's and congenital contractions) and on "hammer-toe" / by William Adams. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    to have been the first surgeon to investigate the anatomical conditions by dissection. In his Lecons orales de Olinique Ohirurgicale * it is stated, A man who for some time had been under the observation of M. Dupuytren, and was the subject of this deformity, died, and M. Dupuytren succeeded in gaining posses- sion of the arm and hand. A careful drawing was made of the parts before the dissection. The whole of the skin was removed from the palm of the hand, as well as from the palmar surface of the fingers. The result was the complete disappearance from it of the folds into which it had been gathered. This opening out showed that its arrangment during the disease was communicated to it; but in what way or by what means was not evident. Continuing the dissection, the professor exposed the palmar aponeu- rosis, and was surprised to find it stretched, retracted, and shortened. From its inferior part were given off bands which passed to the sides of the affected finger. On making movements of extension in the affected fingers, M. Dupuytren observed that the aponeurosis underwent a kind of stretching and crackling. This threw light on the subject. It seemed clear that the aponeurosis was somehow * Lemons orales de CJiaique Chirurgicale faites Ji 1' Hotel Dieu de Paris, par M. le Baron Dupuytren, recueillies et publiees par ime Socicte de Medccins. Tomfi premier, Bruxelles, 1832, p. 6, article premier. Retraction permanente des Doi,j?ts par suite d'uue affection de I'aponeurose palmairc.—An abstract of J)upuytrcn's observations will be found in Selections from the Clinical Lectures delivered at the Hotel Dieu, Paris, in the session 1831 and 1832, by Baron Du- ])uytrcn, LowJon Medical and Surgical Journal, Vol. J., page 267, London, 1832, Renshaw and Rust.
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