File:The surgeon's handbook on the treatment of wounded in war - a prize essay (1884) (14753698276).jpg

Identifier: surgeonshandbook1884esma (find matches)
Title: The surgeon's handbook on the treatment of wounded in war : a prize essay
Year: 1884 (1880s)
Authors: Esmarch, Friedrich von, 1823-1908
Subjects: Military Medicine Wounds and Injuries Surgery, Military
Publisher: London : Sampson, Low, Marston, Searle, and Rivington
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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at the elbow (by flaps). 2. The arm is forciblyflexed, and twisted in sucha way, as to bring theposterior surface of thejoint forwards. 3. A convex incisionover the olecranon exposesits tip (fig. 354). 4. A transverse incisionfrom one condyle to theother divides the tendon ofthe triceps and both lateralligaments; a second dividesall the soft parts on theflexor aspect of the joint. i. Amputation of the arm. a. By single circular incision (page 174). (3. By double circular incision(page 175). y. By flaps (page 178). Volzs transverse sections of the arm are represented on:Plate XXVI, fig. II. Transverse section of the right arm in its upper third.Plate XXVII, fig. I. Transverse section of the right arm in its middle third.Plate XXVII, fig. II. Transverse section of the right arm just below the axilla. k. Disarticulation at the shoulder joint. a. By flaps. 1. The patient lies at the edge of the table, partially turned onhis healthy side, and with the upper part of his body raised. The 202
Text Appearing After Image:
more lie isbrought into the sittingposture, theeasier is itfor the opera-tor, but moredangerous for the chloro-form - narcosis(page 112). 2. A squareflap Avith roun-ded corners isformed on theouter side ofthe shoulder,the base ofwhich extendsfrom the co-racoid processto the junctionof the acro-mion with thespine of thescapula, andwhose lowermargin runsover the in-sertion of thedeltoid (fig.355). 3. Withsweeping stro-kes of theknife, the del-toid flap israised as far 205 as the acromion and turned back, so that the capsule of the shoulderjoint is exposed. 4. The head of the humerus is pushed upwards; and an incision,macle with some force above the two tuberosities, divides the capsuleand tendons in front of the joint. 5. The head of the humerus is now tilted forwards, while theknife, placed behind it, divides the capsule on the inner side of the joint. 6. The operator draws the head of the humerus forwards withhis left hand, carries the knife with long sweeping strokes down theinner si

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