Editorials and Medical Intelligence

1841 Boston Medical and Surgical Journal  
such (according to the patient's statement) as might be produced by breaking sticks across the knee. I have divided the tendo-Achillis for talipes, but its clicking is very different from the sound I am describing. The operation scarcely occupied a quarter of a minute, and not more than two or three drops of blood flowed from the small puncture ; the patient scarcely felt the introduction of the knife, but the most excruciating pain followed the division of the tendon. When the muscle was
more » ... d, it sprang upwards with great violence, and appeared to tear away hands of cellular membrane, which connected it with adjacent muscles. Upon each contraction of the muscle, the countenance gave evidence of lhe most acute suffering. When the division of the tendon was effected, the distorted side of the neck bobbed up, like an automaton figure, when acted upon by machinery, suddenly put into motion. The small puncture made to introduce the knife healed on the following day, and the patient was able to resume his business three days after the operation. On the day following the operation, I placed a strap round the head, and another under the axilla, which buckled to a strap from the headstrap, so that I could use considerable power in bringing the head to the left side ; but, I think, there is not much occasion now for the strapping, as the patient can move his head in all directions, and without effort keep it in a natural position.-Lancet.
doi:10.1056/nejm184101060232205 fatcat:ncnvwixverhwpdkehornf7dflq