Image from page 558 of “American practice of surgery : a complete system of the science and art of surgery” (1906)

Image from page 558 of “American practice of surgery : a complete system of the science and art of surgery” (1906)
Hand Wrist Pain
Identifier: americanpractice03brya
Title: American practice of surgery : a complete system of the science and art of surgery
Year: 1906 (1900s)
Authors: Bryant, Joseph D. (Joseph Decatur), 1845-1914 Buck, Albert H. (Albert Henry), 1842-1922
Publisher: New York : W. Wood and company
Contributing Library: University of California Libraries
Digitizing Sponsor: Internet Archive

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plaster, or celluloid. In the occupational forms oithe hypertrophic lesion, arthrotomy and removal of the spurs from the olecranonand coronoid processes have yielded very good results, both as to the relief ofthe symptoms and also as to the improvement of function. NON-TUBERCULOUS INFLAMMATIONS OF JOINTS. 527 Wrist and Fingers.—The carpus is practically exempt from these lesions.To the fingers belongs the distinction of having Heberden first describe thisdisease in them in the seventeenth century. In this situation the diseaseattacks the terminal phalanges almost invariably. The .r-ray shows the bonydeposits very distinctly. They are along the margins of the articular cartilages,(Fig. 236), are not symmetrically placed, and therefore are apt to deflect the ter-minal phalanx in one direction or the other through the pressure of these nodes.They are more commonly seen in women, and especially women who subjecttheir hands to hard usage in housework, sewing, etc. The formative stage is

Text Appearing After Image:
Fig. 234.—Shows Lipping of the Lower End of the Humerus, of the olecranon process of theulna, and, to a slight extent, of the head of the radius. (Original.) sometimes painful, but more often not. Here, more than in any other jointin the body, these lesions are tender to external pressure. Putting on glovesand such manipulations are painful in these cases. Patients will not as a rulesubject themselves to the inconvenience of having fixative treatment appliedto these joints, especially as the end results are not very crippling. Baking inhot sand, sweating the affected joints by rubber cots, etc., afford the greatestrelief. At the same time the patient should avoid as much as possible themanipulations which cause discomfort to the joints. In general, the prognosis of this form of arthritis, as regards the ultimatefunction of the joints, particularly of the smaller articulations, is very good.Pain and disability tend to lessen under any or no treatment, but when suchtherapeutic measure

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