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RAPID MIGRATION OF A FOREIGN BODY IN THE HAND.
554 this new position of the foreign body or the fact that it was no longer in front of the semilunar bone. A median longitudinal incision about half an inch in length was made over the middle phalanx and carried through the fascia to the tendon sheath, but the fragment could not be found. The sheath was opened and the fragment was easily found lying loosely on the tendon. Uninterrupted recovery The wound of entrance showed that the fragensued. an inch long, ment of needle, about one-third of entered the radial side of the palmar aspect of the base of the thumb. Forty-eight hours later it was at about the same horizontal level on the ulnar side, and a week later it was in front of the first phalanx of the little finger. Dr. Lothrop thinks that its course must have been through tendon sheaths. The case shows the importance of taking a skiagram shortly before attempting the removal of a foreign body, which should be located by plates taken in two planes. Occasionally surgeons have much trouble in finding buried needles, and frequently they have, to their chagrin, been compelled to abandon the search.
with continental institutions will ensure a like result. All communications on the subject should be made to the honorary secretary-general off the congress, Royal -Institute of Public Health, Russell-square, London, W.C.
:acquainted
signs indicating
OCCLUSION OF THE INFERIOR VENA CAVA AS A RESULT OF INTERNAL TRAUMA.
Pathological Section of the Royal Society of MediTuesday last Mr. S. G. Shattock recounted the extraordinary case of the late Dr. W. Rivers Pollock. Dr. Pollock, the late obstetric physician to the Westminster Hospital, as was well known to his friends, lived for 25 years with occlusion of the inferior cava, and bequeathed to the Royal College of Surgeons of England for dissection the parts
AT the cine on
involved.
In 1884
Pollock, when
about 24 years of age,
successfully for Cambridge against Oxford in the 120 .yards hurdle race, the time being given as 16 seconds.l ran
breath the whole time of the race, and after the struggle lay down on the grass. of the legs supervened at once.
immediately
RAPID
MIGRATION OF A FOREIGN THE HAND.
__
A SPECIAL meeting of Fellows of the Royal Society of Medicine will be held at the society’s house, 1, Wimpolestreet, W., on Monday, March 10th, at 5 P.M., when a discussion on Alimentary Toxsemia : Its Sources, Consequences, and Treatment, will be opened. The following opening addresses will be delivered on that day :-Dr. Hale White, General Survey ; Dr. F. W. Andrewes, the Bacteriology of the Alimentary Canal ; Dr. Vaughan Harley, the Toxins of the Alimentary Canal; Dr. Robert Saundby, Consequences and Treatment from a Medical Point of View ; Mr. Arbuthnot Lane, Consequences and Treatment from a Surgical Point of View ; Mr. J. F. Colyer, Consequences and Treatment from a Dental Point of View. The discussion will be reopened by Mr. J. B. Lawford on Monday, April 14th, at 5 P.M., and will be continued on successive Mondays for as long as may be necessary.
’,
-
0 the suggestion of the High Commissioner for Cyprus the Secretary of State for the Colonies has arranged that a visit shall be paid to the island during March, by Sir Ronald Ross, late professor of tropical medicine in the University of Liverpool. The object of the visit is to investigate the causes of the prevalence of malarial fever in the island, and to advise in regard to the best means of combating the disease.
BODY IN
IT is well known that small metallic foreign bodies lodged in the tissues may migrate from one place to another. Wellauthenticated cases have been recorded of needles which had been swallowed being removed, after longer or shorter periods, from various parts of the body, including the extremities. As a rule fragments of needles which have passed through the skin do not move far, though muscular action or pressure from without may cause somemigration. The following case, recorded in the Boston ivedical and 81l,rgical Journal recently, by Professor A. Lothrop, of the Harvard Medical School, is exceptional in the rapidity -and extent of the migration. While dusting, a young woman wounded her hand with a needle which broke. She removed a fragment and went next day (Dec. 2nd, 1911) to the Boston City Hospital. There was a puncture on the palmar .aspect of the thumb at its base. A skiagram showed a fragment of needle about a third of an inch long embedded in the tissues anterior to the semilunar bone. There was no clinical evidence of this location, which was internal to the point of entrance. On. Dec. 8th, prior to operation, a second skiagram was taken. This showed a fragment of needle, of the same size and shape as seen about a week previously, anterior to the distal end of the first phalanx of the little finger. There were no symptoms or
AT a meeting of the Hunterian Society, held at St. Bartholomew’s Hospital on Feb. 12th, Mr. A. H. Tubby, the President, being in the chair, the annual oration was delivered by Dr. Edward W. Goodall on Serum Sickness. THE death has occurred of Sir Thomas Chavasse, F.R.C.S. over 30 years surgeon to the Birmingham General
Eng., for Hospital.
-
WE also have to record the death of Dr. A. B. Duffin, physician to King’s College Hospital, London.
consulting
considerably
1
THE LANCET, Oct.
16th, 1909, p. 1182.
LITERARY INTELLIGENCE.-Messrs. J. and A. Churchill are about to publish a new book entitled "The Difficulties and Emergencies of Obstetric Practice," by Dr. Comyns Berkeley and Mr. Victor Bonney, obstetric and gynaecological surgeons to the Middlesex Hospital. The illustrations are all original and very numerous. The same publishers havejust ready the sixth edition of "A Short Practice of Midwifery," by Dr. Henry Jellett, master of the Rotunda Hospital, Dublin. The new edition is to be issued with a larger page, and has been revised throughout, and contains many new illustrations.
with continental institutions will ensure a like result. All communications on the subject should be made to the honorary secretary-general off the congress, Royal -Institute of Public Health, Russell-square, London, W.C.
:acquainted
signs indicating
OCCLUSION OF THE INFERIOR VENA CAVA AS A RESULT OF INTERNAL TRAUMA.
Pathological Section of the Royal Society of MediTuesday last Mr. S. G. Shattock recounted the extraordinary case of the late Dr. W. Rivers Pollock. Dr. Pollock, the late obstetric physician to the Westminster Hospital, as was well known to his friends, lived for 25 years with occlusion of the inferior cava, and bequeathed to the Royal College of Surgeons of England for dissection the parts
AT the cine on
involved.
In 1884
Pollock, when
about 24 years of age,
successfully for Cambridge against Oxford in the 120 .yards hurdle race, the time being given as 16 seconds.l ran
breath the whole time of the race, and after the struggle lay down on the grass. of the legs supervened at once.
immediately
RAPID
MIGRATION OF A FOREIGN THE HAND.
__
A SPECIAL meeting of Fellows of the Royal Society of Medicine will be held at the society’s house, 1, Wimpolestreet, W., on Monday, March 10th, at 5 P.M., when a discussion on Alimentary Toxsemia : Its Sources, Consequences, and Treatment, will be opened. The following opening addresses will be delivered on that day :-Dr. Hale White, General Survey ; Dr. F. W. Andrewes, the Bacteriology of the Alimentary Canal ; Dr. Vaughan Harley, the Toxins of the Alimentary Canal; Dr. Robert Saundby, Consequences and Treatment from a Medical Point of View ; Mr. Arbuthnot Lane, Consequences and Treatment from a Surgical Point of View ; Mr. J. F. Colyer, Consequences and Treatment from a Dental Point of View. The discussion will be reopened by Mr. J. B. Lawford on Monday, April 14th, at 5 P.M., and will be continued on successive Mondays for as long as may be necessary.
’,
-
0 the suggestion of the High Commissioner for Cyprus the Secretary of State for the Colonies has arranged that a visit shall be paid to the island during March, by Sir Ronald Ross, late professor of tropical medicine in the University of Liverpool. The object of the visit is to investigate the causes of the prevalence of malarial fever in the island, and to advise in regard to the best means of combating the disease.
BODY IN
IT is well known that small metallic foreign bodies lodged in the tissues may migrate from one place to another. Wellauthenticated cases have been recorded of needles which had been swallowed being removed, after longer or shorter periods, from various parts of the body, including the extremities. As a rule fragments of needles which have passed through the skin do not move far, though muscular action or pressure from without may cause somemigration. The following case, recorded in the Boston ivedical and 81l,rgical Journal recently, by Professor A. Lothrop, of the Harvard Medical School, is exceptional in the rapidity -and extent of the migration. While dusting, a young woman wounded her hand with a needle which broke. She removed a fragment and went next day (Dec. 2nd, 1911) to the Boston City Hospital. There was a puncture on the palmar .aspect of the thumb at its base. A skiagram showed a fragment of needle about a third of an inch long embedded in the tissues anterior to the semilunar bone. There was no clinical evidence of this location, which was internal to the point of entrance. On. Dec. 8th, prior to operation, a second skiagram was taken. This showed a fragment of needle, of the same size and shape as seen about a week previously, anterior to the distal end of the first phalanx of the little finger. There were no symptoms or
AT a meeting of the Hunterian Society, held at St. Bartholomew’s Hospital on Feb. 12th, Mr. A. H. Tubby, the President, being in the chair, the annual oration was delivered by Dr. Edward W. Goodall on Serum Sickness. THE death has occurred of Sir Thomas Chavasse, F.R.C.S. over 30 years surgeon to the Birmingham General
Eng., for Hospital.
-
WE also have to record the death of Dr. A. B. Duffin, physician to King’s College Hospital, London.
consulting
considerably
1
THE LANCET, Oct.
16th, 1909, p. 1182.
LITERARY INTELLIGENCE.-Messrs. J. and A. Churchill are about to publish a new book entitled "The Difficulties and Emergencies of Obstetric Practice," by Dr. Comyns Berkeley and Mr. Victor Bonney, obstetric and gynaecological surgeons to the Middlesex Hospital. The illustrations are all original and very numerous. The same publishers havejust ready the sixth edition of "A Short Practice of Midwifery," by Dr. Henry Jellett, master of the Rotunda Hospital, Dublin. The new edition is to be issued with a larger page, and has been revised throughout, and contains many new illustrations.