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THE

MEDICAL NEWS.

MDCCCLXXI.

VOL. XXIX.

PHILADELPHIA:
HENRY O. LE A.

1871.

PHÍA:

RINTER.

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CLINICS.

many hours of the day to the practice of

their profession. But they are not con-

fined exclusively to this class of persons.

Clinical Lecture on Ganglions. By FRE- Although free from pain, they are un-

DERIC C. SKEY, F.R.S., &c.—These small sightly, and are always attended with

swellings, composed of a toughish cyst, some weakness of the hand, probably of

are formed on one or other of the nume- the extensor muscles only. They are

rous tendons of the wrist. They rarely usually treated by rupturing the sac, and

increase to a considerable size, and are allowing its contents to invade the sur-

not often seen larger than a child's mar- rounding tissue. The instrument of vio-

ble. Their cause must be referred to un- lence commonly employed, and which has

due and excessive action of the tendon, been, doubtless, handed down and adopted

or rather of the extensor muscle leading for many generations, is a thick bound

to the tendon on which it is placed. Why book. The force of the blow is necessa-

they occur on that particular tendon I do rily great, and the rupture of the sac does

not know. My reason for so thinking is not invariably follow. This entails the

because I have treated many cases in the necessity of a second blow. It is not cer-

persons of violin players, in whom the ma- tain that the force may be applied in the

lady has been confined to the left hand, exact direction. To say nothing of the

the right or bow hand being free; and it pain and the shock to a delicate girl, this

is not uncommon in pianists who devote treatment is by no means attended with

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