Chapter I: Preface

The following pages are developed from a course of Hunterian Lectures delivered by the Author in the theatre of the Royal College of Surgeons, in 1891. The matter has been revised and brought up to date, and augmented by a section upon the congenital deformities of the hands and feet.

WILLIAM ANDERSON.

2 HARLEY STREET, W. _March 1897._

CONTENTS

SECTION I

CONTRACTIONS OF THE FINGERS

PAGE

INVOLVING THE DIGITAL AND PALMAR FASCIÆ (DUPUYTREN’S CONTRACTION) 4

FROM DEVELOPMENTAL IRREGULARITIES IN THE BONY AND LIGAMENTOUS
ELEMENTS OF THE ARTICULATIONS 44

FROM UNBALANCED ACTION OF THE FLEXOR MUSCLES AFTER RUPTURE,
DIVISION, OR DESTRUCTION OF THE EXTENSOR TENDON 63

FROM NUTRITIVE CHANGES IN THE MOTOR APPARATUS 65

FROM TENDO-VAGINITIS OF THE BURSAL SHEATH OF THE FLEXOR TENDONS 67

FROM INFLAMMATORY AND DEGENERATIVE CHANGES IN THE ARTICULAR
STRUCTURES 68

PARALYTIC AND SPASTIC CONTRACTIONS FOLLOWING LOCAL INJURY 70

CONGENITAL AND INFANTILE CONTRACTIONS 77

TRIGGER FINGER 78

SECTION II

CONTRACTION OF THE TOES

FROM PATHOLOGICAL LESIONS IN THE CUTANEOUS AND FASCIAL STRUCTURES 86

FROM DEVELOPMENTAL IRREGULARITIES IN THE ARTICULAR STRUCTURES AND
COMPRESSION BY MISSHAPEN SHOES 87

HAMMER TOE 88

HALLUX FLEXUS 104

HALLUX VALGUS 115

HALLUX VARUS 120

LATERAL DEVIATION OF THE LESSER TOES 122

ARTHRITIC CONTRACTIONS 124

PARALYTIC CONTRACTIONS 127