File:Text-book of operative surgery (1911) (14763304632).jpg

Identifier: textbookofoperat01koch (find matches)
Title: Text-book of operative surgery
Year: 1911 (1910s)
Authors: Kocher, Theodor, 1841-1917
Subjects: Surgical Procedures, Operative Surgery, Operative
Publisher: New York : Macmillan Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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ly is the innermost tendon of theextensor brevis digitorum, and still farther inwards the broad tendon of the extensorlongus hallucis. The artery, with the cutaneous termination of the anterior tibialnerve lying upon it, appears from beneath the outer edge of the extensor brevistendon, and gives off the large first dorsal interosseous branch. The small branches of the dorsalis pedis, viz. the tarsal and metatarsal arteries,the latter forming an arch on the dorsum of the foot, may have to be ligatured inaccidental wounds of the foot. Of the branches to the toes only the dorsalis hallucis artery requires consideration.It is the continuation of the dorsalis pedis in the first interosseous space. 81. Ligature of the Plantar Arteries (the Terminal Branches of the PosteriorTibial Artery). (a) Beloiv the internal malleolus (Fig. 68). The posterior tibial 156 Dorsalis pedis a. Ext. longus 1hallucis tendon. / Musculo-cutaneous n Ext. long. \hallucis tendon. J Ist doisal ~; Jinterosseous m. J ^
Text Appearing After Image:
Musculo-cutaneous n. .Vnt. tibial n. Ext. brevis hallucis m. — Ext. brevis hallucism. Ext. brevis digit. m.Ant. tibial n.Dorsalis pedis a. Fig. 67.—Dorsalis pedis artery, witli anterior tibial and musculo-cutaneous SURGERY OF THE LARGE ARTERIES 157 artery is tlie parent trunk of the two plantar arteries, and may be termed the arteriaplantaris communis. An incision is made beginning a finger-breadth below and infront of tbe sustentacukim tali is carried horizontally backwards along the innerborder of tlie foot above the prominence of the abductor hallucis muscle. Afterdivision of the skin and fascia the abductor hallucis is exposed, and separated down-wards from the subjacent deep fascia. On dividing the latter we find the plantarvessels opposite a line continued downwards from the posterior border of the internalmalleolus. The posterior tibial nerve lies immediately below the artery. (6) Internal plantar artery (Fig. 69). An incision is made in a line from thepoint of the heel to

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