Human anatomy; Medicine -- Study and teaching; Palpation
112. =Popliteal bursa.=--The precise position of the bursa in the
popliteal space, which sometimes enlarges to the size of a hen’s
egg, is between the tendon of the inner head of the gastrocnemius and
the tendon of the semimembranosus, just where they rub one against
the other. The bursa is from one and a half to two inches long. When
enlarged, it makes a swelling on the inner side of the popliteal space,
which bulges and becomes tense when the knee is extended, and _vice
versâ_. I examined 150 bodies with a view to ascertain how often this
bursa communicates with the synovial membrane of the knee. There was
a communication about once in five instances. This should make us
cautious in interfering too roughly with the bursa when enlarged.
113. =Popliteal artery.=--The popliteal artery can be felt beating
and can be compressed against the back of the femur, close to which
it lies. But pressure, sufficient to stop the blood, should be firm,
and should be made against the bone nearer to the inner than the outer
hamstrings. The line of the artery corresponds with the middle of the
ham. It lies under cover of the fleshy belly of the semimembranosus,
and the outer border of this muscle is the guide to it. An incision
down the middle of the ham would fall in with the vessel just above the
condyles.
114. =Peroneal nerve.=--The peroneal nerve runs parallel with and close
to the inner border of the tendon of the biceps. It can be felt in thin
persons. There is a risk of dividing it in tenotomy of the biceps,
unless the knife be carefully introduced from within outwards. Below
the knee the nerve can be felt close to the fibula just below the head,
and when pressed upon in this situation causes a sensation to run down
its branches to the foot.
_THE LEG AND ANKLE._
115. =Bony points.=--The tubercle of the tibia (for the attachment of
the ligamentum patellæ), the sharp front edge called the shin, and the
broad flat subcutaneous surface of the bone can be felt all the way
down. The inner edge can be felt too, but not so plainly. The lower
third is the narrowest part of the bone and the most frequent seat of
fracture.
The head of the fibula is a good landmark on the outer side of the leg,
about one inch below the top of the tibia and nearly on a level with
the tubercle. Observe that it is placed well back, and that it forms no
part of the knee-joint, and takes no share in supporting the weight.
The shaft of the fibula arches backwards, the reverse of the shaft of
the tibia. The fact of the bones not being on the same plane should be
remembered in flap amputations. The shaft of the fibula is so buried
amongst the muscles, that the only part to be distinctly felt is the
lower fourth. Here there is a flat triangular subcutaneous surface,
between the peroneus tertius in front, and the two peronei (longus and
brevis) behind. Here is the most frequent seat of fracture.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account