A system of surgery . roughened surfaces CHRONIC! OSTEO-ARTHRITIS. 1055 do creak on movement under the hand. Later, when the low in-flammatory action is beginning, and the border of the articularcartilage is becoming nodular while the synovial tissue is patient complains of dull aching pain, aggravated by creaking or actual crackling will now be noticed,and the lumpyenlargement at the borders of the articulation can be made out withthe hand. Probably, too, the joint will contain a certain amount offluid, and there may be a certain eleva-tion of temperature without


A system of surgery . roughened surfaces CHRONIC! OSTEO-ARTHRITIS. 1055 do creak on movement under the hand. Later, when the low in-flammatory action is beginning, and the border of the articularcartilage is becoming nodular while the synovial tissue is patient complains of dull aching pain, aggravated by creaking or actual crackling will now be noticed,and the lumpyenlargement at the borders of the articulation can be made out withthe hand. Probably, too, the joint will contain a certain amount offluid, and there may be a certain eleva-tion of temperature without redness. Thiscondition, of course, interferes with themovement of the joint, not only becauseof the pain, but also owing to the altera-tion of the shape of its surfaces, due tothe bony growths. Any attempt tocarry the bones through their usual move-ments leads, of course, to stretching ofthe ligaments, with great increase ofsuffering. With the advance of the dis-ease all these symptoms become aggravated,especially the.


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Keywords: ., bookcentury1800, booksub, booksubjectsurgicalproceduresoperative