On Fracture of the Metacarpal Bone of the Thumb

Teh "astragalo-scaphoid capsule" extends from the tip and sides of the i4ernA elirved tenotome sheild be'enteied im- mAiately,in front bf the anterior border of the internal malleohols the iWwle as far as possible being kept between'the ligaentato be divided 4U41 3t.hesuprjacent skin.In the next stage of the opeation, the blade is-t-be turned against the surface of the ligame4t, and, bl meansof a teitl sawibg motion, is made to divide it.iAi,thesuperfidial flbresate vlj1ed, d0eiNeroes cotre into play, and must u their tu ibe divided urtll ,bone is iiebaheL' By keeping the,knifs lose to the bones, and 4ireoting its&point towards the plantar aspect, the.caloan&-scaphoid igateut, 'hich 4forms an important part of the capsale: i these e4,se, c 'be easily divided.In this.operation, the' tendon of the pCPteiror tibial muscle will almost certainly be divided, and not im- probably that also of the anterior tibial muscle.Thellong and short