Identifier: atlasofclinicals00bock (find matches)Title: Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and studentsYear: 1908 (1900s)Authors: Bockenheimer, Ph. (Philipp), b. 1875Subjects: Surgery, OperativePublisher: New York : RebmanContributing Library: University of California LibrariesDigitizing Sponsor: Internet ArchiveView Book Page: Book ViewerAbout This Book: Catalog EntryView All Images: All Images From Book Click here to view book online to see this illustration in context in a browseable online version of this book.Text Appearing Before Image:such caseswere among Bartiums freaks.) The so-called spontaneous amputations of variousparts of the extremities are caused by pressure ofamniotic bands or the umbilical cord. The ends ofthe amputations are then pointed. In other casesthere is not complete amputation but constriction,resulting in deep, circular grooves extending to thebone (Fig. 149). In spite of the depth of the grooves,the circulation remains normal, but there is oftenelephantiasic thickening from lymphatic congestion.In some cases the bones are constricted, as shown bythe X-rays. The remains of the amniotic bands areoften present in the constricted places. Other malformations, also due to tightness of theembryonic membranes, are synechia of the fingers(webbed fingers), hare-lip, cleft-palate, transversefissure of the cheek, and fissure of the tongue. Treatment. When the constricted parts arefunctionless they should be amputated. Elephanti-asis may be treated by cuneiform excision. 408 Bockenheimer, Atlas. lab. CXIX.Text Appearing After Image:hig. 14y. Ainputalioiies aiiiiiioticae. Pfhmnn Pnninanv. Npw-York. In Fig. 149 the function of the fingers was normalso that no operation was necessary. In this casethere was also hare-lip and cleft-palate, which wereoperated upon. 409 AKROMEGALIA (Acromegaly)MAKROMELIA (Macwmelia)MAKROGLOSSIA (Macroglossia)Plate CXX, Fig. 150. The term Acromegaly is applied to a condition inwhich there is enlargement of the terminal portionsof the body—the hands, feet, nose, cheeks, tongueand ears. The enlargement affects all the tissues(true giantism) and does not appear till after thetermination of the period of growth, thus differingfrom congenital giantism. In some cases there isincreased growth of hair, and curvature of the verte-bral column. The disease causes considerable dis-figurement of the face. It generally appears betweenthe twentieth and fortieth years and may remainstationary. In many cases there is, first of all,hypertrophy of the bones of the hands, feet and face. The disease has bNote About Images Please note that these images are extracted from scanned page images that may have been digitally enhanced for readability - coloration and appearance of these illustrations may not perfectly resemble the original work.

This is a collage showing the hands of a 26 year old male (my hands) with Amniotic Band Syndrome. This person is capable of typing, writing, playing guitar, and most other tasks that are done by people without any hand problems. Having grown up with this syndrome, this person has no significant difficulties in performing normally. Originally created for the Amniotic band syndrome entry.

The embryo floats in an interior ocean—the amniotic fluid—contained by a membrane called the amnion. Salt is dissolved in 
the amniotic fluid in the same proportions as it is in our blood, tears, and the Earth’s oceans.

Vaginal ultrasound

A baby hand affected by amniotic band syndrome