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THE
991
MEDICAL NEWS.
MDCCCLXXI.
VOL. XXIX.
PHILADELPHIA: HENRY C. L E A.
1871.
PHIA:
RINTER.
CLINICS.
CLINICAL LECTURES.
Clinical Lecture on Ganglions. By FRE-
DERIC C. SKEY, F. R.S., &c.-These small
swellings, composed of a toughish cyst,
are formed on one or other of the nume-
rous tendons of the wrist. They rarely
increase to a considerable size, and are
not often seen larger than a child's mar-
ble. Their cause must be referred to un-
due and excessive action of the tendon,
or rather of the extensor muscle leading
to the tendon on which it is placed. Why
they occur on that particular tendon I do
not know. My reason for so thinking is
because I have treated many cases in the
persons of violin players, in whom the ma-
lady has been confined to the left hand,
the right or bow hand being free; and it
is not uncommon in pianists who devote
many hours of the day to the practice of
their profession. But they are not con-
fined exclusively to this class of persons.
Although free from pain, they are un-
sightly, and are always attended with
some weakness of the hand, probably of
the extensor muscles only. They are
usually treated by rupturing the sac, and
allowing its contents to invade the sur-
rounding tissue. The instrument of vio-
lence commonly employed, and which has
been, doubtless, handed down and adopted
for many generations, is a thick bound
book: The force of the blow is necessa-
rily great, and the rupture of the sac does
not invariably follow. This entails the
necessity of a second blow. It is not cer-
tain that the force may be applied in the
exact direction. To say nothing of the
pain and the shock to a delicate girl, this
treatment is by no means attended with
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VOL. XXIX.-1