Observations on contraction of the fingers (Dupuytren's contraction) : and its successful treatment by subcutaneous divisions of the palmar fascia, and immediate extension also on the obliteration of depressed cicatrices after glandular abcesses, or exfoliation of bone by a subcutaneous operation / by William Adams.

  • Adams, William, 1810-1900.
Date:
1879
Catalogue details

Licence: Public Domain Mark

Credit: Observations on contraction of the fingers (Dupuytren's contraction) : and its successful treatment by subcutaneous divisions of the palmar fascia, and immediate extension also on the obliteration of depressed cicatrices after glandular abcesses, or exfoliation of bone by a subcutaneous operation / by William Adams. Source: Wellcome Collection.

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    affecting the little and ring-fingers of the left hand, in a man set. 30, admitted into St. George's Hospital. Mr. Hawkins was satisfied that the fascia alone was the seat of the contraction, and fully recognized the accuracy and importance of Dupuytren's observa- tions which had been published in 1832, and to which he refers. In this case Mr. Hawkins success- fully adopted Dupuytren's operation by open-wound, making one transverse incision in the palm for the division of the large fascial bands, and semi-circular incisions at the base of the little and ring fingers for the division of the digital prolongations of the fascia. The case did well, and the report states, he has as much power over the fingers which were operated upon as any other. In the. year 1844, Mr. Cgesar Hawkins also pub- lished, in the Medical Gazette, an account of another case of Dupuytren's contraction in both hands. William Kisby, set. 39, a coachman, was admitted on the 17th of April, with contraction, in a greater or less degree, of all the fingers of both hands, but chiefly of the fore, ring, and little fingers of the left hand, and of the ring, and little fingers of the right hand. After alluding to Dupuytren's dissection, and his account of the pathology of this form of contraction, Mr. Hawkins observes :*— Dupuytren says that it takes place in those persons who are subjected to laborious employments in which some hard substance is constantly rubbed and pressed in the palms of their =* Op. cit., Medkal Gazette, Vol. XXXIV., p. 273, May 31st, 1844; also Contributions to Pathology and Surgery, by Cassar H. Hawkins F.R.S. Vol. II., p. 202. London, 1874.