Symptomatology, diagnosis, and surgical treatment of cervical ribs / by W.W. Keen.

  • Keen, William W. (William Williams), 1837-1932.
Date:
1907
Catalogue details

Licence: In copyright

Credit: Symptomatology, diagnosis, and surgical treatment of cervical ribs / by W.W. Keen. 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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    A few days later she complained of a constant sharp stinging pain in the left h}^othenar eminence. In the course of a few days this pain extended up the ulnar side of the forearm to the elbow, the radial side becoming involved soon afterward. Later, the pain extended up the arm to the shoidder. It was so severe as to cause her to lose considerable sleep. With the onset of the pain, the left hand became distinctly less red than the other. During last June the pain gradually disappeared. About the first of September, she again noticed a tingling sensation and shooting pain in the finger- Eig. 1.—Photograph of Keen’s case of cervical ribs. The obliquely horizontal lines corre- spond to the clavicle. The double obliquely vertical lines correspond to the subclavian arteries. The gangrene of the finger-tips shows imperfectly. tips of the left hand, and that the fingers were red and slightly swollen. About two weeks later the soft parts at the tips of the fingers, especially under and about the nail, became gangrenous in the following order: index, ring, thumb, middle, and little finger. She stated that the pain was always less severe while she used the hand freely in her work. Physical Examination on Admission. Weight 119 pounds. There is no arcus senilis present. There is a soft systolic cardiac