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Updated: May 10, 2025
While the most common situation is in the subcutaneous tissue, a cavernous angioma is sometimes met with in internal organs. It may appear at any age from early youth to middle life, and is of slow growth and may become stationary. The swelling is rounded or oval, there is no pulsation or bruit, and the tumour is but slightly compressible. The treatment consists in dissecting it out.
In neglected cases, a perfect functional result can only be obtained by operation; under a local anæsthetic, the ruptured tendon is exposed and is sutured to the base of the phalanx, which may be drilled for the passage of the sutures. Subcutaneous rupture of one or other of the digital tendons in the hand or at the wrist can be remedied only by operation.
Inflammation was then excited in the skin over the subcutaneous pit, and in a few days the wound, if such it may be called, was healed, and a charming dimple was the result." It is quite possible that some of our modern operators have overstepped the bounds of necessity, and performed unjustifiable plastic operations to satisfy the vanity of their patients.
In the interior of a long bone it may replace the rigid framework of the shaft to such an extent as to lead to pathological fracture. Tertiary Lesions of the Skin and Subcutaneous Cellular Tissue. The clinical features of a subcutaneous gumma are those of an indolent, painless, elastic swelling, varying in size from a pea to an almond or walnut.
The symptoms of myxedema, as given by Ord, are marked increase in the general bulk of the body, a firm, inelastic swelling of the skin, which does not pit on pressure; dryness and roughness which tend, with swelling, to obliterate the lines of expression in the face; imperfect nutrition of the hair; local tumefaction of the skin and subcutaneous tissues, particularly in the supraclavicular region.
The disease was first described by Sir William Gull as a cretinoid change, and later by William Ord of London, who suggested the name. It is characterized clinically by a myxedematous condition of the subcutaneous tissues and mental failure, and anatomically by atrophy of the thyroid gland.
But in the cold fit of ague, after having discovered that the act of shuddering, or exerting the subcutaneous muscles, relieves the pain of cold; he immediately exerts this act of volition, and shudders, as soon as the pain and consequent aversion return, without any deliberation intervening; yet is this act, as well as that of swallowing an ounce of the bark, caused by volition; and that even though he endeavours in vain to prevent it by a weaker contrary volition.
Handley has devised a method of treatment lymphangioplasty the object of which is to drain the lymph by embedding a number of silk threads in the subcutaneous cellular tissue.
These stitches of coaptation may be interrupted or continuous. In small superficial wounds on exposed parts, stitch marks may be avoided by approximating the edges with strips of gauze fixed in position by collodion, or by subcutaneous sutures of fine catgut.
It may feel inert or it may be inflamed. The skin is a beautiful and complex structure. It is made up of an outer layer called the epidermis and an inner layer, the true skin or corium, which rests upon a subcutaneous layer, composed principally of fat and connective tissue. The epidermis is divided into four layers.
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