Full resolution (JPEG) - On this page / på denna sida - Cases Illustrating the Treatment - XVI. Scar on Palmar Surface of Right Hand
<< prev. page << föreg. sida << >> nästa sida >> next page >>
Below is the raw OCR text
from the above scanned image.
Do you see an error? Proofread the page now!
Här nedan syns maskintolkade texten från faksimilbilden ovan.
Ser du något fel? Korrekturläs sidan nu!
This page has never been proofread. / Denna sida har aldrig korrekturlästs.
CASUS ILLUSTRATING THE TREATMENT 137
XVI. SCAE ON PALMAE SUEFACE OF EIGHT HAND.
Lieutenant P., of the Fort Artillery Battalion at Pola, con-
sulted me on the 14th December 1S88. Four weeks previously
he had cut his hand through falling with a spirit-lamp. The
scar began about 1 cm. below the right wrist, and passed in
half-moon shape over the anti-thenar until near the ulnar edge
of the hand. It was about 6 cm. long, immovable, retracted,
edges hardened and elevated. Wlien the ring finger was stretched
it was considerably drawn in at the wrist. The hand and the
forearm were weak, so that the patient could not use them. The
feeHng in the little finger and ulnar side of ring finger was much
diminished ; friction over the ulnar nerve causing no reaction in
these places. Adduction of the little finger not possible.
The first treatment was given on the 14th December, and
after it the feeling in the little finger began to return.
Dec. 15th. More power in the hand.
Dec. IQth. Scar not retracted so much; edges softer.
Dec. nth. If the hand is placed flat on the table, the patient
can adduct the little finger. Scar less depressed, and the draw-
ing in at the wrist, on stretching the ring finger, is hardly per-
ceptible. Scar in the hand freely movable.
Dec. 18th. At the wrist it is free from parts underneath for
about ^ cm. The feeling in the ring and little fingers greatly
improved. Power in the arm and hand normal.
Treatment.—I gave petrissage over the elevated and hardened
surroundings of the scar. In order to detach it from the parts
underneath, the two thumbs were placed opposite each other, with
the volar surface of the ungual phalanx on the scar, at a distance
of about 1 cm., and in the direction of it. The thumbs were then
moved towards each other (fig. 75). Of course care was taken
that the parts of the scar underneath the thumbs moved with
them. In this way the adhesions were mechanically torn down.
The weakness in the little finger was caused partly by direct
<< prev. page << föreg. sida << >> nästa sida >> next page >>
