971 the Society to call attention to the fact that absolute and (2) the false vocal cords, with the cuneiform cartilages of continuous rest for a joint, together with the adoption of Wrisberg, are the degenerate representatives of a piece of constitutional measures, is a well-tried means of successfully cartilage which originally connected the epiglottis with the, dealing with chronic disease of the knee in children.- cornicula laryngis (Santorini’s cartilage); (3) that the hyoMr. SHEILD agreed with most of the opinions expressed by epiglottic ligament is the degenerate representative of the Mr. Page. Absolute immobility after operation was the hyo-epiglottic muscle so developed in whales, horses, main factor in success after either excision or arthrectomy. ant-eaters, many monkeys, and other mammals, sometimes He had found the actual cautery useful in the treatment of even reappearing in man. The demonstration was aided by oozing from cavities.-Mr. BARKER hoped that ultimately actual dissections, prepared by Mr. William Pearson for by means of arthrectomy movable joints might be obtained. preservation in the museum, at the suggestion of Professor However, at present it seemed advisable to keep the Stewart. The paper concerned itself with actual questions The question of move- of facts, and speculation was studiously avoided. limb at rest for a long time. Mr. R. W. REID then read a paper on the Relations ment seemed to depend upon the choice of cases; in those which now presented themselves movement could not between the Superficial Origins of the Spinal Nerves from be hoped for. Contrary to the opinion of Mr. Page, the Spinal Cord and the Spinous Processes of the Vertebrae. suture of the patellar ligament ought to be practised. He Owing to the present somewhat insufficient data afforded has found that shock, due to prolonged operations, was concerning the exact position in the adult of the superdiminished by the use of hot water instead of the ordinary ficial origin of the spinal nerves from the cord in relation to cool carbolic douche, which had also other disadvantages. the surface of the body, he made a series of six dissections He himself had been in the habit of performing a modern to try to localise their position more positively. He said arthrectomy for fifteen years. He removed a thin layer of that although the length and obliquity of the spinous bone and cartilage and all the synovial membrane. His processes varied a good deal, yet their posterior extremities actual arthrectomy had given him trouble because of flexion. might fairly be made use of for the purpose. From examiThe whole cartilage and crucial ligaments had not been nation of a number of cords, he found that for all practical removed in these cases. It was important to preserve the purposes the posterior roots and the anterior roots of nervescrucial ligaments unless they were diseased. The tendency belonging to the same segment left the cord at the same to flexion lasted for years. Mr. Page had got the best level. He then described the method in which the investi: result in the case in which he had removed cartilages. The gations were conducted-firstly when the body was placed other cases still required supports, and he wished to know in the horizontal, and secondly in the upright position. how this must be continued.—Mr. PAGE replied. These investigations were conducted with mathematical accuracy, and the result arrived at was that the superficial origin of any individual spinal nerve has no fixed and ANATOMICAL SOCIETY OF GREAT BRITAIN definite relation to the apex of one or the apices of two AND IRELAND. spinous processes or the space intervening between two, as might be supposed from the tables of Nuhn and Bare Abnormality of Aortic Arcla.-Angle of iveck with Jadlot, but that its position varies considerably. The is a summary of the limits within which Shaft of Thigh Bone at various Ages.—Nature of Vocal following Cords and Hyo-epiglottic llT2cscle.-Origim of Spinal he found that the posterior and anterior nerve. roots took their superficial origins from the cord in relation to Nerves in relation to S’pines of Vertebrce. the ends of the spinous processes. (a signifies THE annual general meeting of this Society was held in the posterior of origin; b the lowest point of origin.) highest point the Library of St. Thomas’s Hospital on Nov. 7th, Professor Second cervical: (a) a little above the posterior arch of atlas; G. M. Humphry, F.R.S., in the chair. (b) midway between the posterior arch of atlas and the Mr. GORDON BRODIE related a case of Rare Abnormality spine of axis. Third cervical: (a) a little below posterior of the Aortic Arch which had been under his observation. arch of atlas; (b) junction of upper two-thirds with lower The innominate arteries were absent, being replaced by a third of spine of axis. Fourth cervical: (a) just below upper short thick trunk, which gave off two branches ascending on border of spine of axis; (b) middle of spine of third cervical. either side of the trachea to the place of the common Fifth cervical: (a) just below lower border of spine of axis; carotids, that on the right giving off one corresponding to (b) just below lower border of spine of fourth cervical. the vertebral. Next in order from the arch was the left Sixth cervical: (a) lower border of spine of third cervical; vertebral, which entered the foramen in the transverse process (b) lower border of spine of fifth cervical. Seventh cervical: of the fifth cervical, and gave a branch to the thyroid. ((t) just below upper border of spine of fourth cervical; Another branch arose from the first part of the subclavian (b) just above lower border of spine of sixth cervical. on the left side. The right subclavian arose from the arch Eighth cervical: (a) upper border of spine of fifth cervical; as a fourth branch, and passed behind the œsophagus and (b) upper border of spine of seventh cervical. First dorsal: (a) middle of interval between spines of fifth trachea. Professor HUMPHRY read a paper on the Angle of the and sixth cervical; (b) just above spine of first dorsal. Neck of the Thigh Bone with the Shaft at various Ages Second dorsal: (a) lower border of sixth cervical; (b) just Third ,and under various circumstances. He gave numerous above lower border of spine of first dorsal. measurements, from which he deduced the following con- dorsal: (a) middle of spine of seventh cervical; (b) lower clusions :—1. That the angle formed by the neck of the border of spine of second dorsal. Fourth dorsal: (ct) just thighbone with the shaft varies considerably in different below upper border of spine of first dorsal; (b) junction persons at the same age. 2. That it is smaller in short of upper third and lower two-thirds of spine of third bones than in long bones, and that it is usually small dorsal. Fifth dorsal: (a) upper border of spine of second when the pelvis is wide, the combination of these two con- dorsal ; (b) junction of upper fourth and lower threeditions rendering it usually smaller in men than in women. fourths of spine of fourth dorsal. Sixth dorsal: (a) lower 3. That the angle decreases during the period of growth, border of spine of second dorsal; (b) just below upper border before and after birth ; but that after growth has been com- of spine of fifth dorsal. Seventh dorsal: (a) junction of pleted it does not usually undergo any change, even if life upper third and lower two-thirds of spine of fourth dorsal; of spine be prolonged to extreme old age, the commonly received (b) just lower opinion on this point being erroneous. Some change may Eighthdorsal: (a) junction of upper take place in exceptionally rare cases ; but, as a rule, the third of interval between spinesof fourth and fifth dorsal; angle remains the same from the adult period till death, at (b) junction of upper fourth and lower three-fourthsof of interval whatever age that event may occur. 4. That if during spine of sixth dorsal. Ninth dorsal: .growth the limb be relieved of the weight of the body, as in between spines of fifth and sixth dorsal; (b) upper border of the bedridden state, in paralysis, or after amputation in the spine of seventh dorsal. Tenth dorsal: (a) middle of interval thigh, the angle of the neck with the shaft usually retains between spines of sixth and seventh dorsal; (b) middle of spine the open form of early life, or may, and not unfrequently of eighth dorsal. Eleventh dorsal: (a) junction of upper three-fourths and lower fourth of spine of seventh does, become wider. A paper was read by Mr. BLAND SUTTON on the Nature dorsal; (b) just above spine of ninth dorsal. Twelfth of the Vocal Cords and the Hyo-epiglottic Muscle, in which dorsal: (a) junction of upper fourth and lower threefacts were adduced in support of the contention (1) that the fourths of spine of eighth dorsal; (b, just below spine of true vocal cords are the result of the tendinous meta- ninth dorsal. First lumbar: (a) middle of interval between morphosis of a portion of the thyro-arytenoideus muscle; spines of eighth and ninth dorsal; (b) lower border of spine
largely
above
border
of fifth two-thirds anddorsal. lower
(a) middle
972 Second lumbar: (f() middle of spine of of tenth dorsal. ninth dorsal; (b) junction of upper third and lower twothirds of spine of eleventh dorsal. Third lumbar: (a) middle of spine of tenth dorsal ; (6) just below spine of eleventh dorsal. Fourth lumbar: (a) just below spine of tenth dorsal; (b) junction of upper third and lower two-thirds of spine of twelfth dorsal. Fifth lumbar: (a) junction of upper third and lower two-thirds of spine of eleventh dorsal; (6) opposite middle of spine of twelfth dorsal. Sacral nerves-First sacral: (11) lower border of spine of eleventh dorsal; (b) lowest point of origin of fifth sacral, the lower border of spine of first Coccygeal: (a) lowest border of first lumbar; (6) just below the upper border of second lumbar. Mr. W. ANDERSON and Mr. G. H. MAKINS read a paper on Cranio-cerebral Topography. Dr. SHERRINGTON read a note on the Topography of the Pyramidal Tract in the Spinal Cord.
lumbar.
ULSTER MEDICAL SOCIETY. THE opening meeting of the session 1888-89 was held in the rooms of the Society, the Museum, College-square North, on Wednesday evening, the 7th inst., at 8 o’clock. The retiring PRESIDENT (Dr. Esler), having delivered a short address, called upon Dr. Henry Burden to take the chair as president for the coming session, which he did
amidst
applause.
Dr. BURDEN then proceeded to deliver his opening address on the Progress of Bacteriology in recent years, and he treated his subject in an interesting and masterly manner. At its conclusion a hearty vote of thanks was accorded him, on the motion of Professor Dill, seconded by Dr. Harkin. A number of gentlemen were nominated as members. The following is a list of the office-bearers for the session :President : Henry Burden, M.A., M.D. Ex-President: Robert Esler, M.D. Vice-Presidents: Dr. Byers and Dr. J. A. Lindsay. Council: Dr. O’Connell, Professor Dill, Dr. Dempsey, Dr. Bigger, Dr. Mackenzie, and Dr. Calwell. Hon. Librarian: Dr. Strafford Smith. Pathological Secretary: I Professor Sinclair, M.D. Hon. Treasurer: Dr. Hy. O’.Neill. Hon. Secretary: John M’Caw, M.D.
ance
from Dr.
Gaskell, Mr. Langley, and Dr. Lea, and
from Mr. Shore and Mr. Wingfield, all well-known and’ able men, who materially aid Professor Foster in his work at Cambridge, and who in great part owe their education to him. In the present edition, owing to pressure having, been exercised upon him, and clearly in great measure in opposition to his own judgment, some histology has been introduced. Thus several pages are devoted to an account of the structure of nerve and muscle; but histology has now such an able exponent in Professor Klein and the handy little volume he has published that it hardly seems requisite to encumber the pages of such a treatise as that before us. with details which every man must have learned before he could read it with the slightest profit. The same may be, said in regard to descriptions of methods and apparatus. If the latter subject is to be discussed at all, it should be done in the fashion adopted by Professor McKendrick in his excellent text-book. The title of Professor Foster’s book should be "An Advanced Text-book." It is really a luminous digest of the whole of physiology, with little or no, reference to authorities, and may well be read not only by the student preparing for his examination, but by the practitioner who, already familar with the practical application of physiological knowledge, is desirous of learning what value is to be placed upon the numerous essays and memoirs he has no time to master. He will find, for, example in this part a condensed summary of Gaskell’s interesting observations on the relations of the spinal nerves to the ganglia of the sympathetic. The physiology of inhibition, the causes and phenomena of the coagulation of the blood, and many other points are fully and interestingly given, and some’ writers may also be taught how such subjects should be handled. The volume should be in the hands of every second year’s student.
Lurtacy in Many Lands. By G. A. TUCKER. Pp. 1564.. London : Baillière, Tindall, and Cox. 1887. THIS is a work of closely printed matter extending to. 1561 pages. The area traversed is very wide, embracing the United States of America, Canada, Australasia, Africa, the Sandwich Islands, and Europe. Four hundred asylums were visited by Mr. Tucker, and on his return from New A Text-book of Physiology. By M. FOSTER, Professor of South Wales he had travelled about 140,000 miles. Failing Physiology in the University of Cambridge. Fifth Edit. health induced the author in 1881 to take a rest. Adopting Part 1. Pp. 352. London : Macmillan and Co. 1888. the Dutch proverb, he determined that rest should not be DR. FOSTER, having in the first instance produced a rust, and he therefore concluded to visit the leading instistandard work on physiology, is determined, by the care tutions for the insane throughout the world, and to report. which he bestows on each successive edition, to maintain it upon them to the Government of the Colony. It must not in the high position it has gained. It is a thoroughly be supposed, however, that his mission was an official one. English book, and differs from the foreign works on the It was altogether self-imposed, and was carried out at hisown expense. The Colonial Secretary, Sir John Robertson, same subject in many particulars, the one which most resembles it being, perhaps, the important treatise of complied with his request to be supplied with an introWagner, which was materially modified and improved by duction, in which Mr. Tucker is described as gentleman Otto Funke, and has recently been edited by Gruenhagen. of some standing in this city (Sydney), who is visiting Both are characterised by the judicial manner in which all Europe and America in the interests of his business, for the’ new matter is discussed, which was to be expected from the purpose of inspecting institutions for the care of the insane, scientific attainments of the authors and from the circum- and collecting information regarding them." Mr. Tuckerstance that both are engaged in teaching. Both introduce drew up a form of questions, to which he endeavoured to obtain answers from superintendents of asylums, and in a. a little, but comparatively little, histology and accounts of methods of research ; but whilst the German treatise is large number of instances succeeded. These replies form a extraordinarily full and complete in its treatment of the considerable portion of this bulky volume, and constitute special senses, we think the palm may be given to the work reliable statements, the value of which cannot be denied. before us as presenting the most intelligent and thorough A dillerence of opinion will exist as to the value of discussion of such difficult subjects as the statics and Mr. Tucker’s own observations and conclusions. Their accudynamics of the circulation, and of the phenomena pre- racy has been called in question, but it would require a very extended investigation to decide the proportion which sented by nerve and muscle. Professor Foster’s Text-book is now divided into three mistakes or oversights bear to the collection of correctly parts, of which the first is before us, and, speaking gene- recorded facts. If this proportion should be small, it wouhi rally, is devoted to the consideration of the blood, the be only candid to admit that some misstatements must, circulation, neive, and muscle. In its preparation the necessarily occur in the reports of 400 asylums. If, on the author acknowledgesthat he has received much assist- other hand, the errors are grave and frequent, the work
Reviews
and
Notices of Books.
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