On femoral rupture its anatomy, pathology, and surgery, with a new mode of operating, applicable to cases of strangulated herniae generally / [John Gay].

  • Gay, John, 1813-1885.
Date:
1848
Catalogue details

Licence: Public Domain Mark

Credit: On femoral rupture its anatomy, pathology, and surgery, with a new mode of operating, applicable to cases of strangulated herniae generally / [John Gay]. Source: Wellcome Collection.

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    A PV ON THE ANATOMY AND PATHOLOGY OF THE PARTS CONCERNED IN FEMORAL RUPTURE. 1— In entering upon the following details, I shall presume upon my reader’s general acquaintance with the bony structures usually described in treatises on Femoral Rupture; and shall therefore only remind him of a few points, which must especially be borne in mind, in order to enable him to form a correct apprehension of the anatomical relations of the soft parts, as they will hereafter be presented. 2— The symphysis of the pubis being found, the finger directed outwards along the upper edge or crest of that bone for the distance of an inch, will discover a prominence, not so distinct in the subject as in the skeleton, called the tuberosity, or spinous process.'*'' If a line, drawn across the front part of the thigh from this prominence to the summit of the great trochanter, be divided into thirds, the iliac third will lie over the neck of the thigh bone and the great trochanter; the middle third will horizontally bisect the head of the thigh bone ; whilst the horizontal ramus of the os pubis and the parts immediately concerned in the anatomy of Femoral Rup- ture will be subjacent to the outer part of its pubic division.! 3— In directing attention to the osseous structures beneath the inner third of this supposed line, I shall first note the direction of the horizontal ramus of the pubis outwards and backwards, reaching at its extremity (the body being laid on its back) a * Sir A. Cooper objected to its being called the spinous process, it has therefore usually been termed the tuberosity. t By this simple process of measurement the sometimes ditficult question, whether a given hernial tumour be inguinal or femoral, might he readily solved. For the same purpose M. Nivet directs : “Chercher avec le doigt indicateur I’epine du pubis, et remonter de la vers Repine iliaque en suivant toujours le ligament de Fallope. Toute hernie situee au-dessus du ligament sera inguinale, et au-dessous, crurale.”—Malgaigne, p. 187.