A system of surgery : pathological, diagnostic, therapeutic, and operative . drain and hectic irrita-tion, or by some intercurrent disease, as purulent infection, or tuberculosis of thelungs. The treatment of sacro-iliac disease is similar to that of coxalgia. The prin-cipal remedies are rest and recumbency, with leeches and blisters in the earlystage of the malady, followed, if the amelioration is not prompt and decisive, bythe establishment of a long issue, with the actual cautery, in the line of theaffected joint. Of course no severe counter-irritation is admissible after the partshave beco
A system of surgery : pathological, diagnostic, therapeutic, and operative . drain and hectic irrita-tion, or by some intercurrent disease, as purulent infection, or tuberculosis of thelungs. The treatment of sacro-iliac disease is similar to that of coxalgia. The prin-cipal remedies are rest and recumbency, with leeches and blisters in the earlystage of the malady, followed, if the amelioration is not prompt and decisive, bythe establishment of a long issue, with the actual cautery, in the line of theaffected joint. Of course no severe counter-irritation is admissible after the partshave become seriously disorganized. If abscesses form, no time must be lost inletting out their contents by a valvular incision. The strength is supported bytonics, and the constitution improved by alterants, as iodide of iron, iodide ofpotassium, and bichloride of mercury, with cod-liver oil. 5. WRIST-JOINT. The characteristic features of tuberculosis of the wrist-joint are well depictedin the annexed engraving, fig. 486, from Barwell, the disease having already made Fig. 486. .. Tuberculosis of the wrist-joint. considerable progress. It wnll be observed that the greatest amount of swellingand distortion is on the dorsalsurface of the hand, although there is also a gooddeal of fulness in front and the hollow of the palm, which is often completelyeffaced, especially when the matter gravitates in that direction. The thumb andfingers are tumefied, stiff, and straight, or nearly so, and have a peculiar elongatedappearance. Every attempt to move them excites severe pain, or pain and sense of fluctuation, often very faint and perplexing, is usually perceptible,being most distinct on the back of the joint, and caused either by a fungouscondition of the synovial membrane, or by the presence of an unnatural quantityof synovial fluid, or both. The muscles of the limb are wasted and flabby. Ifmatter forms, it generally experiences great difficulty in finding an outlet, and itis, therefore
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
