Outlines of surgery and surgical pathology : including the diagnosis and treatment of obscure and urgent cases and the surgical anatomy of some important structures and regions / by F. Le Gros Clark.

  • Frederick le Gros Clark
Date:
1872
Catalogue details

Licence: Public Domain Mark

Credit: Outlines of surgery and surgical pathology : including the diagnosis and treatment of obscure and urgent cases and the surgical anatomy of some important structures and regions / by F. Le Gros Clark. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    tendon very closely resembles, on section, the original texture. (For operations, see last Section.) FIBROUS and ELASTIC TISSUES include ligaments, aponeu- roses, annular, plantar and palmar fasciae, the pericardium, dura mater, and theca vertebralis, the periosteum, middle coat of arteries, &c. Suppuration or ulceration may occur as conse- quences of inflammation of fibrous tissue ; but more commonly induration or thickening. Contraction of the plantar or palmar fascia results from chronic inflammation dependent usually on pressure or some other form of local irritation. The only efficacious treatment is subcutaneous section of the contracted bands, and subsequent extension : this is often mistaken for contraction of tendon. Sloughing of fibrous tissue may occur as in other tissues ; the dura mater commonly sloughs after trephining. Inflamed periosteum often leads to destruction of the subjacent bone ; but the loss of the fibrous tissue does not necessarily entail necrosis. Fibrous tissues are readily calcified, as seen in the pericardium, dura mater, and arteries ; also in abnormal growths. When cancer attacks the periosteum, it is usually the medullary form, and soon involves the bone. ’(For ligaments, see “ Joints.”) The areolar and fibrous tissues are peculiarly liable to certain of the lower types of new growths to which histologically they are closely related. The sar- comata and myxomata are found in connection with fibrous tissues and are likely to return after removal. Some- times in internal organs, as the liver, spleen, brain, See. new growths (tubercle, lymphomata, cancer) follow the course of the tissue surrounding the vessels. Tumours of a more organized character are also found in areolar tissue, and of these the fibrous is the most common. Cystic tumours may be the result of accidental, serous, or other effusion into the interspaces of the texture or to new growths—true epitheliated cysts. CARTILAGE, though rarely defective, is often found in abnormal growths, generally mixed with fibrous element. Cartilage may be torn or broken, and repaired. Inflammation affecting the synovia] membrane or the cancellous texture of a bone involves the cartilage, which perishes first on its surface