Bismuth paste in chronic suppurations, its diagnostic importance and therapeutic value . Epiphysial / V V/.^fcWu,.arteries \^ff j££ Metaphysial /V \Awt Metaphysial arteries ~i4 y-j \\$ Epiphysial t/p^—c^ • tarteries [pC^-- *-£ Pig. 23. Figs. 23, 24. Blood supply in bones of infant, showing subdivisions of nutrientartery in metaphysial line. (Lexer.). Epiphysialarteries Fig. 24. fection, and that from there the disease extends into thejoint proper. Professor Konig has, however, pointedout that primary synovial tuberculosis is far more fre-quent than is supposed, and his experience is supported
Bismuth paste in chronic suppurations, its diagnostic importance and therapeutic value . Epiphysial / V V/.^fcWu,.arteries \^ff j££ Metaphysial /V \Awt Metaphysial arteries ~i4 y-j \\$ Epiphysial t/p^—c^ • tarteries [pC^-- *-£ Pig. 23. Figs. 23, 24. Blood supply in bones of infant, showing subdivisions of nutrientartery in metaphysial line. (Lexer.). Epiphysialarteries Fig. 24. fection, and that from there the disease extends into thejoint proper. Professor Konig has, however, pointedout that primary synovial tuberculosis is far more fre-quent than is supposed, and his experience is supported SINUSES FOLLOWING DISEASES. 81 by Lexer,1 who states that the synovial form is at leastas often primary as the osseous form. In the osseous form the disease is, no doubt, of em-bolic origin. A study of the blood supply in the bonesof growing children (Figs. 23, 24) teaches us why thisdisease selects the ends of the bones of young smallest subdivisions of the nutrient artery takeplace at the metaphysial end, and the epiphysial arter-ies enter from all sides and meet in the center of theepiphysis. Small triangular infarcts, when present, aredue to blocking of one of these end arteries with bacilli-carrying emboli, and from this focus the disease spreadsinto neighboring areas. This primary infection causes an inflammatory
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