File:Text-book of operative surgery (1911) (14763603675).jpg

Identifier: textbookofoperat01koch (find matches)
Title: Text-book of operative surgery
Year: 1911 (1910s)
Authors: Kocher, Theodor, 1841-1917
Subjects: Surgical Procedures, Operative Surgery, Operative
Publisher: New York : Macmillan Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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ars upon the ulnar side. The artery has previously given oflthe common digital brauch for the forefinger and thumb, which may readily be mis-taken for the main trunk. The radial recurrent, posterior radial carpal, and superficial volar, branches ofthe radial artery, are only ligatured in the case of injury. The superficial volar is asmall twig which assists in forming the superficial palmar arch (q-v.), and runs down-wards under the delicate fascia of the muscles of the thenar eminence. 39. Ligature of the Ulnar Artery (Fig. 48). The ulnar artery can be feit inthe lower third, being for the most part uncovered by muscles. After arising at anangle from the brachial artery, it passes between the flexor sublimis and flexor profundus 124 OPERATIVE SURGERY Ext. carpi radialis longior tendon. Kadial n. Tendon ext. sec. internod. pollicis.Ext. priini internod. pollicis m. Tendon ext. carpi rad. longior. \ J Tendon ext. secundi internod. y pollicis. 2nd metacarpal. Ist dorsal interosseoiis m.
Text Appearing After Image:
Fia. 49. —Radial artery on tlie back of the wrist. Eadial nerve. SURGERY OF THE LARGE ARTERIES 125 digitorum muscles. Incisions for ligaturing tlie artery are made along a line extendingfrom the internal condyle for the humerus to the protection of the pisiform bone.This line does not correspond to the course of the artery, which in its Upper part liesmuch more towards the middle line. To ligature it at its origin, the directions alreadygiven for ligature of the brachial at the bend of the elbow sufßce, except that theincision is prolonged somewhat more downwards. In the tipper half. With the arm held abducted, an incision is made in a linedescending vertically from the posterior edge of the internal epicondyle of thehumerus. The incision must not be begun higher than four finger-breadths belowthe epicondyle (i.e. at the junction of the upper and middle thirds of the forearm),and must not fall in front of the above line : it strikes the radial edge of the fiexorcarpi ulnaris, which

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