598 The Limhs as a Whole. 



putation. — Infant's right forearm and part of the upper arm — 

 in spirit, illustrating the above. 



It was hanging by a thread at birth, and was separated by 

 a snip with scissors, without bleeding. No cause for the 

 condition could be traced in the arrangement of the umbilical 

 cord or otherwise. The infant was one of triplets. 



A process of intra-uterine mummification seems to have 

 extended nearly to the elbow. G. C. 2833. 



Presented hj G. M. Johnston, M.D., 1888. 



Stumps after Amputation. 



a. Anatomj\ 



11. 82. Stump after Amputation throug-h the Upper Arm. 



— Stump after the above — dissected and in spirit. 



George M , aged 26, had his arm crushed by a stone weighing 



about 30 cwt. , which was lowered too rapidly while he was smoothing the 

 mortar for its bed. The forearm and elbow-joint were severely injured. 

 A local doctor bandaged the arm, and the patient arrived at the Royal 

 Infirmary, Edinburgh, at about 7 p.m. on 19th August 1890. Mr 

 Cathcart amputated the limb 3J or 4 inches above the condyles. About 

 1st September, when the wound was nearly healed, the patient showed 

 signs of tetanus. On the morning of September 3rd Mr Cathcart 

 performed Spence's amputation at the shoulder-joint. The tetanic spasms, 

 which had been very severe, improved for a time, and the patient Ml 

 asleep at 1 p.m. He woke, however, at 1.45 p.m., and after three spasms, 

 died in a fourth, which was prolonged. 



The end of the median nerve is slightly enlarged, the 

 end of the brachial artery has been filled by a clot, and its 

 termination has been surrounded by organising lymph. The 

 wound had almost entirely healed, and the section shows how 

 the skin had covered in the cut end of the muscle. 



G. C. 3204. 



Presented by Chakles W. Cathcaet, r.R.C.S.E., 1890. 



11. 83. Stump after Amputation above the Elbow.— Stump 



