Chicago medical journal and examiner . perpendicular line of the body—to walk or limp around for agood many years. We find, as is shown in the figure, a tuber-culous abscess filled with cheesy mater, situated on the pelvicsurface of the corpus ossis ischii. 488 Lee-Fenger, Select Topics of Modern Surgery. [May, This abscess communicates with two osteo-tuberculous cavities ;the upper one in the acetabular portion of the os ischii, the otherin the atrophic head of the anchylosed os femoris. Still low^er inthe head of the femur is another small, round, tuberculous cavity(13) that has no communica
Chicago medical journal and examiner . perpendicular line of the body—to walk or limp around for agood many years. We find, as is shown in the figure, a tuber-culous abscess filled with cheesy mater, situated on the pelvicsurface of the corpus ossis ischii. 488 Lee-Fenger, Select Topics of Modern Surgery. [May, This abscess communicates with two osteo-tuberculous cavities ;the upper one in the acetabular portion of the os ischii, the otherin the atrophic head of the anchylosed os femoris. Still low^er inthe head of the femur is another small, round, tuberculous cavity(13) that has no communication with the above described local tuberculosis of the hip joint and its surrounding boneswas the primary disease. The arthritis terminated in an anchy-losis. The tuberculous cavities, filled wdth cheesy matter andlined with a membrane containing thousands of miliary tubercles,remained for a long series of years harmless, but finally were thesource of an infection from which emanated the fatal tuberculosisof the lungs. 3. Fig. 7.—Anchylosed hip joint. The femur in a degree of flexion, form-ing a right angle, 90° with the perpendicular axis of the body. 1. Shaftof femur. 2. The trochanter major. 3. The spina ossis ischii. 4. Thesymphysis ossis pubis. 5. The ramus horizontalis ossis ;pubis. 6. Theforamen obturatorium. 7. Firm fibrous tissue filling up the formercavity of the joint, uniting 8. the remnant of the atrophic head of thefemur with 9. the bony walls of the irregularly excavated cavity of theacetabulum. 10. Tuberculous abscess, viz, cavity filled with cheesy matteron the inside of the os ischii in the cavity of the pelvis minor. 11. Probeleading through this abscess into a tuoerculous cavity in the os ischii on theinside of the former acetabulum. 12. Probe leading through the abscessinto a tuberculous cavity in the anchylosed head of the femur. 13. Isolatedmiliary tuberculous abscess or focus in the head of the femur. 1880.] Lee-Fenger, Select Topics of M
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