IN Inst. Hist. Med. LIBRARY 'j , ' 1 ' o OF THE JOHNS HOPKINS HOSPITAL WITMD.RAWN r o~y 3 ., •V. H. A. KELLY, M D. ANATOMICAL TABLES OF THE HUMAN BODY. BY WILLIAM CHESELDEN, I* tURGBON TO HIS MAJESTY’S ROYAL HOSPITAL AT CHELSEA, FELLOW OF THE ROYAL SOCIETY, ANO MEMBER OF THE ROYAL ACADEMY OF SURGEONS AT PARK. BOSTON: Printed by MANNING and LORING, for DAFW WEST. 1796. 2 ANATOMICAL TABLES. T A B. I. A, The fkeleton of a child tv/enty months old, in which all the bones differ in Ihape from thofe of an adult. The fcull is much larger in proportion, and the bones of the limbs with- out thofe roughneffes and unevennelfes which afterwards appear ; their texture is every where more loofe and fpongy, and their outlines what the painters call tame and infipid j their ex- tremities are feparate and formed cartilaginous, which is accurately diftinguifhed in the plates by the manner of graving. B, The thigh bone of a man, fawed through, in the middle of which is Teen the cavity which contains the oily marrow, and at the extremities the lelfer cells, which contain the bloody mar- row. The white line acrofs the head of this bone, beginning at the fingers of the fkeleton, is the place where the epiphyfis and the bone are united. A like line, acrofs the lower end of this bone, fliews there the fame thing. C, The os bregmatls of a feetus fix months old, which fhews the fibres offifying from the cen- tre to the circumference. TAB. T^B I. P.So. Digitized by the Internet Archive in 2015 https://archive.org/details/anetomicaltables01ches i }• TAB. JDL. ANATOMICAL TABLES. 3 TAB. IL 1 Os fronds, a Os bregmads. 3 Os temporis. 4 Os occipitis. 5 Os malsE. 6 Os maxilla? fuperioris. 7 Os nafi. 8 Os planum. 9 Proceffus maftoideus. 10 Proceffus ftyloides. 1 1 Proceffus pterygoides. 12 Dentes. 13 Proceffus coronalis. 14 Proceffus condyloides, 15 Dentes, TAB, 4 ANATOMICAL TABLES. T A'B. III. 1 Os frontis. 2 Os bregmatis. 3 Os OGcipitis. 4 Sella turcica, 5 A procefs of the os fphenoides, making part of the feptum nafi. 6 A procefs of the os ethmoides, making part of the feptum nafi; 7 Vomer. 8 Crifta galli, before which is feen in ftiadow the fmus frontalis. 9 The cornua of the os fphenoides. 10 Sella turcica^ 1 1 Os frontis. 1 2 Crifta galli and os ethmoides. 1 3 Sinus frontales. 14 Sella turcica. 15 The fifth foramen. 16 Proceflus jugales. 17 Os petrofum. 18 Foramen magnum. 19 The outfide of the os occipitis. TAB. TARTTr. P.SZ. \ ■'S Tajb.iv. ANATOMICAL TABLES. 5 TAB. IV. 1 The fecond vertebra of the neck. 2 The tranfverfe procefles of the vertebrse of the neck. 3 Clavicula. 4 The proceflus acromion of the fcapula. 5 Os humeri. 6 The ribs. •7 The tranfverfe procelTes of the vertebrse of the loins. 8 The os facrum and os coccygis. 9 Os ileum. 10 Os ifehium. 1 1 Os pubis. 12 Osfemoris. 6 ANATOMICAL TABLES. TAB. V. 1 The under fide of the firft vertebra of the neck. 2 A fide view of the fecond vertebra. 3 The proceiTus dentatus of the fecond vertebra. 4 The under fide of the oblique procefs. 5 The fpinal procefs. 6 The under fide of the body of the feventh ver- tebra of the neck, y The tranfverfe proccffes. 8 The oblique procelTes. 9 The fpinal procefs. I o The fpinal procefs of the fecond vertebra of the back. I I The under and fore fide of the body of the vertebra. 12 The tranfverfe procefles. 13 The upper oblique proceffes of the third ver- tebra of the back. 14 The tranfverfe proceffes. 15 The fpinal procefs. 1 6 The body of the third vertebra of the loins. 17 The tranfverfe proceffes. 1 8 The upper oblique proceffes. 19 The fpinal procefs. TAB. TAB.V, T.J4. ^7 I ' < \ ’'V' 1 , , , ) : . mmw- TAB VI. T.S5. anatomical tables, j TAB. VI. 1 The head of the cs humerL 2 The outer extuberance. 3 The inner extuberance; 4 That part which joins with the ulna. 5 The olecranon of the ulna. 6 The lower end of th^'ulria which joins to the radius. 7 Proceffus ftyloides. 8 The upper end of the radius. 9 The tubercle. lo The part of the radius which joins with the carpus. II, 12, 13, 14, 15, i^, 17, 18, The eight bones of the cai*pus. TAB. 8 ANATOMICAL TABLES. TAB. VII. 1 Radius. 2 Ulna. 3 Carpus. 4 The three bones of the thumb. 5 The four bones of the metacarpus^ 6 The three bones of the fingers. TAB, TAB .W I ' / ,v. % \ \ ■»?. - \ s < f ■ M t-‘5 TAB.vnn. P.ST. ANATOMICAL TABLES. 9 TAB. VIIL 1 The head of the os femorls. 2 The great trochanter. 3 The lefler trochanter. 4 The lower end which articulates with the tibia. 5 The upper end of the tibia. 6 The lower end of the tibia. y The procefs which makes the inner ancle. 8 The upper end of the fibula. 9 The lower end which makes the outer ancle. 10 The outfide of the patella. 1 1 The infide of the patella. C T A B, ro ANATOMICAL TABLES, TAB. IX, 1 Aftragalus. 2 Os calcis. 3 Os naviculare. 4, 5, 6 , Ofla cuneiformia. ^ 7 Os ciiboides. 8 The five bones of the metatarfus, 9 The two bones of the great toe. I o The three bones of the leffer toes. T A B, TAB.El. 2 r I - ' . V ,v. ( V , M' M:. 'WW \ y 'v. i-- TAB.X. T.6^. anatomical tables. ir TAB, X, A Ikeleton of an adult put into this poflure to fhew it in a greater fcale. It was thought bet- ^ ter not to figure it, all thefe bones being explained in formed plates, and the defign of this being to Ihew them together, without being defaced with references. TAB. ANATOMICAL TABLES. TAB. XL 1 Mufciilus frontalis. 2 Temporalis, 3 Orbicularis. 4 The parotid gland, with its dud, which pafTes through the buccinator. 5 Maftoideus. 6 Zygomaticus. 7 Elevator labii fuperioris proprius. 8 Elevator labiorum communis. 9 Depreflbr labiorum communis. 10 Sphinder oris. 1 1 Depreffor labii inferioris proprius. 12 Buccinator, 13 Sterno-hyoidei. 14 Coraco-hyoideuS. 15 Maftoideus. 16 Trapezius. 17 Pedoralis. 18 Deitoides. TAB. TAB .XI. \ 'r^ \‘X4t i. ‘ < 4 ^ •I 4 TAB:ar. ANATOMICAL TABLES. 13 TAB. XII. 1 Mufculus maftoideus. 2 Pedtoralis. 3 Biceps flexor cubiti. 4 Coraco-brachialis. 5 Triceps extenfor cubiti. 6 Latiilimus dorfi. 7 Serator major anticus. 8 Obliquus defcendens abdominis, 9 Redtus abdominis. 10 Pyramidalis. 1 1 Sartorius. 12 Fafcialis. 13 Redtus femoris. D TAB. 14 ANATOMICAL TABLES. TAB. XIII. 1 Trapezius. 2 Deltoides. 3 Infrafpinatus fcapulse, 4 Teres major. 5 Rhomboides. 6 Latiffimus dorfi. 7 Glutsei. 8 Obliquus defcendeos abdominis. TAB, , • \ : ' , ■ , •'. . , ■ f ( TxVB.XrV'. ANATOMICAL TABLES, 15 TAB. XIV, 1 Mufculus deltoides. 2 Triceps extenfor cubiti. 3 Anconseus. 4 Extenfor carpi radialis primus. ^ Extenfor carpi radialis fecundus, 6 Extenfor carpi ulnaris. 7 Flexor carpi ulnaris. 8 Deltoides. 9 Biceps flexor cubiti. 10 Brachiseus internus. 1 1 Triceps extenfor cubiti. 12 Supinator radii longus. 1 3 Extenfores carpi radiales. 14 Extenfor communis digitorum, 1 5 Extenfor carpi ulnaris. 16 Flexor carpi ulnaris. 17 Anconseus. 3 8 Extenfor pollicis primus. 19 Extenfor pollicis fecundus. TAB. i6 ANATOMICAL TABLES. TAB. XV. 1 Mufculus deltoldes. 2 Pedtoralis. 3 Biceps flexor cubiti. 4 Triceps extenfor cubiti. 5 The fafcia tendinofa of the biceps mufcl^ 6 Supinator radii longus. 7 Flexor carpi radialis, 8 Glutseus. 9 Vaftus externus. 10 Biceps femoris. 1 1 Semitendinofus. 12 Semimembranofus. 13 GaftrocnemiuS. 14 Solaeus. TAB. TAB.XM. anatomical tables. 17 TAB. XVI. 1 Mufculus reftus femoris. 2 Vaftus externus. 3 Vaftus internus. 4 Sartorius. 5 Ped;insus. 6 The large head of the triceps^ 7 Gaftrocnemius. 8 .Solseus. 9 Membranofus. 10 Redlus femoris. 1 1 Vaftus internus, 12 Vaftus externus, 13 Sartorius. 14 PedlinsEUS. 15 Gaftrocnemius, 16 Solaeus. 17 Tibialis anticus. 18 Exteniores digitorum. E TAB. i 8 ANATOMICAL TABLES. TAB. XVIL I Mufculus abduftor pollicis. 3 Addudcr pollicis. 3 Flexor brevis. 4 Quadratus feu palmaris brevis. 5 The flrong ligament of the carpus that binds down the tendons of the flexors of the fingers. 6 Abdudor minimi digiti. 7 A probe under the tendons of the perforatus. 8 A probe under the tendons of the perforans, 9 Lumbricales. 10 Perforatus. 1 1 Flexor carpi radialis. 3 2 Flexor carpi ulnaris., T A B, TAB.XVTL. P. tzs. '/ ■V'V' : f i } .1 \ '32 \ y i ) 'X M' ! tab:x\te. ANATOMICAL TABLES, 19 TAB. XVIII. 1 Tendo achilles. 2 That part of the aftragalus which articulates with the tibia. 3 The tendon of the tibialis anticus. 4 The tendon of the extenfor pollicis pedis longus. 5 The tendons of the extenfor digitorum com- munis. 6 Extenfor pollicis pedis brevis, 7 Extenfor digitorum brevis. 8 The union of the tendons of the extenfor longus and the extenfor brevis. TAB, 20 ANATOMICAL TABLES. TAB. XIX. 1 Mufculus triceps extenfor cubid. 2 Deltoides. 3 Teres major. 4 Latillimus dorfi. 5 Pedtoralis. 6 Obliquus defcendens abdominis. 7 Redlus abdominis. 8 Sartorius. 9 Re£tus femoris. 10 Vaftus externus. 1 1 Vaftus internus. 12 Gaftrocnemius. 13 Solseus. 14 Tibialis anticusv TAB. -P/30 TAB.:X1X. \ :V- w . I V N \ t / f -I I TAB. XX. ANATOMICAL TABLES. 21 TAB. XX. This table is done after the famous ftatue of Hercules and Antseus. The mufcles here exhib- ited being all explained in the other plates, the figures are omitted to preferve the beauty of the plate. V: I 4 a •s)3r TAb. XXI Fs,4,^. ANATOMICAL TABLES. 23 TAB. XXL 1 Laryn:k. 2 The internal jugular vein. 3 The fubclavian vein. 4 Cava defcendens. 5 The right auricle of the heart, 6 The right ventricle. y Part of the left ventricle. 8 Aorta afcendens. 9 Arteria pulmonalis. 10 The right lobe of the lungs, part of which is cut off to fhew the great blood veffels, i I The left lobe of the lungs. 1 2 The diaphragm. 13 The liver. 14 The ligamentum rotunduin. 15 The gall-bladder. 16 The ftomach, prelTed by the liver tovrards the left fide. 17 The fmall guts. 18 The fplcen. 24 ANATOMICAL TABLES. TAB. XXII. 1 The under fide of the liver, 2 Ligamentum rotmidum, 3 The gall-bladder. 4 The pancreas. 5 The fpleen. 6 The kidney. 7 Aorta afcendens. 8 Vena cava afcendens. 9 The emulgent vein. ' 10 A probe under the fpermatic velfels and the arteria mefenterica inferior^ and over the ureters, 11 The ureter. 1 2 The iliac veffels. 1 3 The re£tum inteftinum. 14 The bladder of urine. TAB. TAB . 1001 . T. 2,5 0 . 12 TAB.XXiE. ANATOMICAL TABLES. 25 TAB. XXIII. ! Part of the inteftinum. jejunum. 2 The valvule conniventes, a's they appear in a dried preparation. 3 The vens ladtese arifmg from the gut, and pafT- ing through part of the mefentery. 4 Part of the defcending aorta. 5 Arteria cceliaca. 6 Mefenterica fuperior, 7 Emulgentes. 8 Spermaticse. 9 Some of the branches of the mefenterica infe- rior that are bellowed upon the guts. G TAB. 26 ANATOMICAL TABLES, TAB. XXIV. 1 Extreme branches of the vena porta, as they arife from the guts. 2 All the branches of the vena porta, united be- fore it enters the liver. 3 The branches of the vena porta, as they are diftributed in the liver. TAB, TAJ3.XXIV: F.2.59,. I /» 'M' ) !• f' \ •,/ 1 ( . r \ ' I TAB. XXV. F. ^23. ANATOMICAL TABLES. 27 TAB. XXV. I Branches of the vena cava in the liver. 1 Part of the vena cava afcendens. 3 Part of the right auricle. 4 Ciftls hepatica. 5 Du£lus fifticus. 6 Dudus hepaticus. 7 Dudtus pancreaticiis. 8 The entrance of the dudiis communis into the duodenum. TAB. 48 ANATOMICAL TABLES. T A B, XXVI, 1 The left fubclavian vein. 2 The internal jugular. 3 Part of the vena azygos. 4 Part of the defcending aorta, 5 The fubclavian artery. 6 Some of the ladteals entering the receptaculum chyli. 7 Some lymphatics entering the receptaculum chyli. 8, 9 The Dudus thoracicus. zo The entrance of the thoracic dudt into the fub- clavian vein. ) T A B. P.$S4 ■ Tab.xx\t:. % ' *' I / \ L i- \ o i ( j i ^6 \ J « t ■) [ / ' ■x::^ XVBX.WIT. ANATOMICAL TABLES. 29 TAB. XXVII. 1 The humeral artery. 2 Cubitalis fuperior. 3 Cubitalis inferior, which ends in the hand and the fingers, and communicates with the cubitalis fuperior, under the mufcles of the thumb. 4 The place where the cubitalis media is giv- en off. 5 The fuperior cubital nerve. 6 The inferior cubital nervCj which pafTes un- der the inner extuberance of the os hu- meri ; both thefe nerves give oft branches as they pafs, and end in the thumb and fingers. H TAB, 30 ANATOMICAL TABLES. T A U XXVIII. 1 Part of the biceps flexor cubiti. 2 The fafcia tendinofa from that mufcle, which is liable to be pricked in bleeding in the bafllic vein, 3 The humeral artery, on each fide of which is a large vein. 4 Vena cephalica,- 5 Mediana. 6 Bafilica. 7 A tumor formed in the centre of the cubital nerve, a little above the bend of the arm ; it was of the ciftic kind, but contained a tranL parent jelly ; t^e fliaments of the nerve were divided and ran over its furface. This tumor occafioned a great numbnefs in all the parts that nerve leads to, and exceffive pain upon the lead: touch or motion. This operation was done but a few weeks fmee, the pain is entirely ceafed, the numbnefs a little increaf-- ed and the limb, as yet, not wafled. T A B, t ’•y.i ^ "n ■■ ■ ^ ~ m -3fe* i ' • I- / •; \ f- \ TAB. XXIX . ANATOMICAL TABLES. 31 TAB. XXIX. I The medulla fpinalis, from whence arlfe the nerves that pafs out between the vertebrae. 1 The brachial nerves. 3 The beginning of the cauda equina. 4 The anterior crural nerves. 5 The pofterior crural neiwes. 6 The defcending intercoftal. ' 7 Nerves of the neck. 8 The brachial nerves. 9 A ganglion in the defcending intercoftal nerve. 10 Branches from the intercoftal nerve to the vifeera. % 11 A probe pafled under fome of the intercoftal nerves that pafs out between the ribs. 12 The anterior crural nerves. TAB. 32 ANATOMICAL TABLES. TAB. XXX. 1 The anlmalculae in femine mafculino, as they appeared in a microfcope, in a fpacc as fmali as a pin’s head. 2 The circulation of the blood in a fifh’s tail, as it appeared in a microfcope. 3 An artery, as it is fpread in a membrane. 4 A vein, as it is fpread in a membrane. TAB, TAB. XXX. T.^ss . , ■ i .-h ■ ,'CAV .1 / - • • # • •> i ■'■ t •*T« f , : l« ■ ' .'■'!.:'J ifuJ iO ;. :j..:-U' :<. *' '-'i ^ 'r*t*5**'^J /r-» • * '' ^ rr'i;;oi,-x..v..'>' ;:f 7 , r.^^v.-:: J 7 ::T I ^ .'f CXlX ■'' X":;' 5 '!? vd hvf'iv ;; -,X ; ^ 1 i 'i. i I T .aiJift ' ';i .rT::Jir:r^:)v:/: cSJiTi '■■■ .' ? I rU A «■ 34 ANATOMICAL TABLES. TAB. XXXI. 1 The under fide of the bladder. 2 The ureters. 3 Vafa deferentia. 4 Veficulae feminales. 5 The proftate gland. 6 Meatus urinarius. y A tranfverfe feiStion of the corpora cavernofa penis. 8 Corpus caverhofum urethrae. 9 Urethra. 10 Septum penis. 1 1 The feptum between the corpus cavernofum urethrae, and that of the penis. 12 The corpora cavernofa penis divided by the feptum. 13 Corpus cavernofum glandis. TAB, rAR. x\xr. / f ( I I . ih \ J 'xVB. XXX [I. T.JI3 ANATOMICAL TABLES. 35 TAB. XXXII. 1 That fide of the uterus which is next the gut. 2 The fallopian tubes. 3 The fimbricE. 4 Ovaria. 5 The mouth of the uterus. 6 Ligamenta rotunda. 7 The infide of the vagina. 8 The orifice of the meatus urinarius. 9 The glans clitoridis. 10 The external labia of the vagina. 1 1 The nymphs which are continued from the prsputium clitoridis, TAB. 30 ANATOMICAL TABLES. T A B. XXXIII. The parts of an hermaphrodite negro, which was neither fex perfed:, but a wonderful mixture of both. This perfon was twent)r-fix years of age, and in fhape perfectly male. 1 A clitoris, when ereded, almoft as large as a penis. 2 The glands of the clitoris. 3 Labia, or a divided fcrotum ; in which were perfed tefticles with all the veffels. 4 Nymphse. 5 The entrance into the vagina, where were caruncul:^ myrtiformes. 6 Furca virginis. The lower figure reprefents another her- maphrodite,. whofe fhape was rather female than male, but too young to have female breafts, or a beard, like a male, upon the face. 7 The glans clitoridis. 8 Nyinphae. 9 Labia with tefticles in them, divaricated to fhew the parts between, but in their natural fituation very like the other, as the other when divaricated refembled this^ I o The entrance into the vagina. II Furca virginis. TAB. \ I % TAB. AX XIV F.315. \ ' i ANATOMICAL TABLES. 37 TAB. XXXIV. 1 The right ventricle of a foetus dift ended with wax, 2 The right auricle. 3 The left auricle. 4 Branches of the pulmonary veins of the right lobe of the lungs, thofe of the left being cut off fhort, 5 The arteries qf the left lobe of the lungs. 6 The vena cava defcendens. 7 Aorta afcendens, 8 Arteria pulmonalis. 9 Dudlus arteriofus. 10 The under fide of a heart of a younger fetus. 1 1 The right auricle cut open. 1 2 The cava defcendens cut open. 13 Tuberculum Loweri. 14 The foramen ovale clofed with its valve. 15 The mouth of the coronary veins. 16 The umbilical vein. 17 Branches of the vena porta in the liver. j 8 Dudfus venofus. 19 Branches of the cava in the liver. 20 Vena cava. K T A B. 38 ANATOMICAL T AULT’S; A B. XXXV. I A crofs for an object. 1 The object reprefented on the retina at the bottom of each eye. 3 The entrance of the optic nerves, in which place no objedt is reprefented. 4 Cones, within which all objedi^placed are dark to each eye, the rays from^ thence falling upon the entrance of the optic nerves ; but that which falls upon the entrance- of th-e optic nerve in one eye, can never fall upon the optic nerve in the other. 5 Pencils of rays from points of the objed^pafling through the cryhalline humour, where -they converge, to meet in a point on the retina to form vifion. T A B. TAB XX XV. F. J1 €. 1 :■( f\,h ' p.'ii - - TAB XXXVI. P- 3iJ. 5 AN A TO M LG A L TABLES. 39 TAB. XXXVI. 1 A knife- pafled through . the tunica fckrotis, un- der-the cornea before the iris, in order to:- cut an artificial pupil where the natural, one is clofed. This operation I Have performed feveral times, with good fuccefs. ; indeed it cannot fail when the operation is well done, and the eye no otherwife. difeafed, which is more than can be faid for couching a cat- aract. In this operation great care muft be taken to hold open the eye-lids without prell- ing upon the eye, for if the aqueous humour is fqueezed out before the incifion is made in the iris, the eye grows flaccid, and renders the operation difficult. 2 A crooked needle palTed through a prbptofis of the cornea ; the black line in the cornea inclofes the piece to be cut out with a knife. The operation being thus done, the ciyffial- line humour immediately falls out ; and in a few days the lips of the wound imite. This operation is very ufeful, and attended with but little pain. I have done the fame thing when the whole eye has been fo enlarged that the eye-lids could not be clofed, which has funk the eye in the head ; but this ope- ration was attended with fuch violent pain. that I cannot much recommend it. 40 ANATOMICAL TABLES. 3 Shews how an opaque fear upon the cornea, by obftrudling part of each pencil of rays, makes a dimnefs of fight without a total lofs. 4 Shews how a cataradt or obftrudUon of the cryftalline humour will obftru£t the light which is before it. And how fome fide- light may pafs to the retina through the aqueous humour, but not being brought into a focus gives only a fenfe of light without; yifion. TAB. M- •TT? ■ V I rAB.?<^xxvn ANATOMICAL TABLES. 41 TAB.. XXXVII. 1 A bone taken out from the firft procefs of the dura mater not far from the crifta galli. 2 A bone taken out of the mufcular part of the heart of a man. 3 The under fide of a bgne taken out of a frac- tured fkull. 4 The upper fide of a bone from the fame fkull, where the operation of the trepan had been thrice made. This girl was brought into the hofpital a week after the accident, I im- mediately opened the fcalp, and let out about two ounces of grumous blood, and laid the fkull bare about four inches one way, and three the other, and tied the blood vellels, that I might make the operation without much difficulty loon after. The frafiurc extended acrpfs the os bregmatis from the fagittal future to the temporal bone ; that part ne^^t the os frontis was deprelfed equal to its thicknefs, and a great deal of extrava- fated blood, and fbme matter, lay under tlie other part of the fame bone, I made two perforations with the trephine, dole to the fradure, that I rniglit raife it up fleadily through both, and have more room for the extravafated blood to dilcKarge from under the fkull, which liad difeharged before in L great 42 ANATOMICAL TABLES. great quantity through the fratflurc. But neverthelefs, ten days after the former opera- tion, I was obliged to make another perfora- tion to difchargc the matter more freely ; for, during a month, the matter ran through all her dreffings down her face twice every day, and was exceedingly fetid, and for the fpacc of three months the matter decreafed verf little in cjuantity, but grew lefs and lefs of- fcnfive. September the thirteentli, the leaft of the bones was taken out j and on Sep- tember tht: twenty-ninth, the large one ; after which time the matter was good, and not too- much in quantity. Each of thefc bones is through both tables, for the motion in the brain was feen, only fome little parts of the lelTer bone remaining, a callus was formed from them ; but where the great one cam)2 away there was no callus, only a com- mon cicatrix ; and befides thefe,. many little bits of bone came away in the dreffings : She was foon after cured, and has remained well many yearsi TAB. •V ‘ '.W.' .. ■ • . ■ / ■ ■r' N ',-‘1 •' / \ TAB.XAXVnt. ANATOMICAL TABLES. 43 TAB. XXXVIII. The figure of Samuel Wood, a miller, whofe arm with the fcapula was torn oft from his body, by a rope winding r.ound it, the other end being fattened to the coggs of a mill. This happened in the year 1 737. The veflels being thus ft retched bled very little, the arte- ries and nerves were drawn out of the arm ; the furgeon who was hrtt called placed them within the wound, and dreli'ed it fuperficially. The next day he was put under Mr. Ferne’s care, at St. Thomas’s hofpital, but he did not remove the dreffings for fome days. The pa- tient had no fevere fymptoms, and the wound was cured by fuperficial dreffings onfy,the nat- ural fkin being left almoft fufficient to cover it ; which fliould in all cafes be done as much as nmy be. About twenty years fince, I intro- duced the method of amputating,by firft divid- ing the fldn and membnma adipofa, lower than the place where the operation was to be linilh- ed, the advantages of which are now fufficient- ly known. 1 The end of the clavicle. 2 The cicatrix. 3 The fubfcapularis mufclg, 4 The cubit broke in two places. TAB 44 ANATOMICAL TABLES. TAB. XXXIX. Reprcfents the cafe of John Heysham, who^ the Friday before Eaftor, in the year 1721, by t)verftraining himfelf at work, had a rupture of the inteftines into the f^rotum, which could liy no means be reduced. He was brought; 1 nto St. Thomas’s hofpital the Monday follow- ing, and I would have performed the operation * immediately, but he refufmg to lubmit, it was deferred till Tuefday morning, when, he be- ing v/illing, I performed the operation, and making a large wound in the bottom of the abdomen, the inteftines were eafily reduced, and near a quart of water was difeharged out of the ferotum at the fame time. There had been a rupture of the omentum before, which being united to the ferotum and fpermatic vef- fels, I pafted a needl^ with a double ligature (as is exprefled in the plate) under that part of the omentum that adhered, fo as not to hurt the fpermatic veftels ; then cutting out the needle, I tied one of the firings over the upper part of the omentum, and the other over the lower, and then cut off as much of it as was in the way. My reafon for tying in this manner was to fecure the blood veffels, which, I think, could not be done fo well u’ith one ligature, becaufe of the largcnefs of the TAB.XXXrX. ANATOMICAL , TABLES. 45 the adhehon, and the texture of the omentum, which renders it too liable to be torn by fuch a bandage. Three days after the operation an eryfipelas began in his legs, and fpread all over his body, the cuticle every where peeling off ; yet he recovered, and continues in a good ftate of health. After he was cured, at firft he wore a fmall trufs, but left it off in a Ihort time, and now feels no inconvenience from it, though he lives by hard labour. M TAB. 46 ANATOMICAL TABLES. TAB. XL. The cafe of Margaret White, the wife of John White, a penfioner in the Fifhmongers alms-houfes at Newington in Surry. In the fiftieth year of her age, fhe had a rupture at her navel, which continued till her feventy- third year, when, after a fit of the cholic, it mortified, and fhe being prefently after taken with a vomiting, it burft, I went to her, and found her in this condition, with about fix and twenty inches and a half of the gut hanging out, mortified. I took away what was morti- fied, and left the end of the found gut hanging out at the navel, to which it afterwards ad- hered ; fhe recovered, and lived many ^ears after, voiding the excrements through the in- teftine at the navel ; and though the ulcer was fo large, after the mortification feparated, that the breadth of two guts was feen ; yet they .never at any time protruded out at the wound,, though file was taken out of her bed, and fat up every day. 1 The gut. 2 The cicatrix of the wound. * TAB.Xr^. • / #■ I / t \ ■;,1 I ■