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Updated: June 7, 2025
Small portions of tissue, such as the end of a finger, the tip of the nose or a portion of the external ear, accidentally separated from the body, if accurately replaced and fixed in position, occasionally adhere by primary union. In the course of operations also, portions of skin, fascia, or bone, or even a complete joint may be transplanted, and unite by primary union. Healing under a Scab.
The next case which presented itself was that of a gentleman about fifty-five years, who had first experienced the trembling of the arms about five years before. His application was on account of a considerable degree of inflammation over the lower ribs on the left side, which terminated in the formation of matter beneath the fascia.
An example of this kind is to be seen in a wound perforating the tibial fascia, where the injury is inflicted by means of a horse being kicked by another animal shod with sharp shoe-calks. Cases of this kind invariably result in a septic lymphangitis, and frequently lymphadenitis also occurs, for the inguinal lymph glands are so situated that their becoming contaminated is almost certain.
The pain of the forehead, and of the limbs, and of the small of the back, arises from the quiescence of the membranous fascia, or muscles of those parts, in the same manner as the skin becomes painful, when the vessels, of which it is composed, become quiescent from cold.
The risks incident to this class of wounds are: the extreme difficulty, especially when a dense fascia has been perforated, of rendering them aseptic, on account of the uncertainty as to their depth, and of the way in which the surface wound closes on the withdrawal of the instrument; different forms of aneurysm may result from the puncture of a large vessel; perforation of a joint, or of a serous cavity, such as the abdomen, thorax, or skull, materially adds to the danger.
The cystic lymphangioma, lymphatic cyst, or congenital cystic hygroma is most often met with in the neck hydrocele of the neck; it is situated beneath the deep fascia, and projects either in front of or behind the sterno-mastoid muscle.
This term is applied to a cyst filled with a clear colourless jelly or colloid material, met with in the vicinity of a joint or tendon sheath. It is situated over one of the intercarpal or other joints in this region, and may be connected with one or other of the extensor tendons. The skin and fascia are movable over the cyst.
Behold the snake his mystic Rod intwine. He has in his hand the fascia herbarum, and the crepidae on his feet. There is a wild-boar represented lying on one side, which I admire as a master-piece. The savageness of his appearance is finely contrasted with the case and indolence of the attitude.
Omitting the cymatium, the rest of the architrave is to be divided into twelve parts, and three of these will form the lowest fascia, four, the next, and five, the highest fascia. The frieze, above the architrave, is one fourth less high than the architrave, but if there are to be reliefs upon it, it is one fourth higher than the architrave, so that the sculptures may be more imposing.
#Hernia of Muscle.# This is a rare condition, in which, owing to the fascia covering a muscle becoming stretched or torn, the muscular substance is protruded through the rent. It has been observed chiefly in the adductor longus.
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