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Updated: June 7, 2025
The cervical fascia is perforated and a cold abscess, often much larger than the gland from which it took origin, forms between the fascia and the overlying skin. The further stages reddening, undermining of skin and external rupture, with the formation of ulcers and sinuses have been described with tuberculous abscess.
Lipomas are also met with growing from the adipose connective tissue between or in the substance of muscles, and, when situated beneath the deep fascia, such as the fascia lata of the thigh, the characteristic signs are obscured and a differential diagnosis is difficult. It may be differentiated from a cold abscess by puncture with an exploring needle.
It is ultimately converted into ordinary connective tissue pari passu with the absorption of the fat. The fascia lata of the thigh is widely and successfully used as a graft to fill defects in the dura mater, and interposed between the bones of a joint if the articular cartilage has been destroyed to prevent the occurrence of ankylosis.
Wounds which cause a break of the skin and fascia overlying the scapulohumeral joint are usually of little consequence, unless the blow is of sufficient force to directly injure the articulation, and in such cases, the treatment of the injury along general surgical principles, such as cleansing the area, providing drainage for wound secretion, and the administration of suitable dressing materials such as antiseptic dusting powder, is all that is required for the wound.
The diagnosis of an intra-muscular tumour is made by observing that the swelling is situated beneath the deep fascia, that it becomes firm and fixed when the muscle contracts, and that, when the muscle is relaxed, it becomes softer, and can be moved in the transverse axis of the muscle, but not in its long axis.
It differs from other inflammations by shifting from one part to another. It is termed muscular rheumatism when it affects the muscles, tendons and fascia, and articular rheumatism when it involves the articulations. A second classification, acute and chronic, depends on the character of the inflammation.
The entablature follows the classic order closely, except for the tiny consoles of the dentil course and the incised decoration of the upper fascia of the architrave, consisting of a band of elongated hexagons which is repeated across the lintel of the door and the imposts of the arch.
#Dislocation of the ulnar nerve# at the elbow results from sudden and violent flexion of the joint, the muscular effort causing stretching or laceration of the fascia that holds the nerve in its groove; it is predisposed to if the groove is shallow as a result of imperfect development of the medial condyle of the humerus, and by cubitus valgus.
Where a contusion of the anterior brachial structures occurs, there is, in addition to lameness, swelling which is painful because of the pressure occasioned by the heavy non-yielding brachial fascia. And where suppuration occurs, there is then an intensely painful condition which is not relieved until pus has been evacuated.
The pus therefore tends to burrow along the line of the blood vessels and in the connective-tissue septa, till it either finds a weak spot or causes a portion of fascia to undergo necrosis and so reaches the surface.
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