American practice of surgery : a complete system of the science and art of surgery . of a very severe type sometimes supervenes, and the patientmay succumb to pyaemia or septicaemia. Diagnosis.—The diagnosis is usually easy, but it is sometimes difficultbecause of the small dimensions of the wound in the skin. The use ofan aseptic probe in aseptic hands, after the skin has been thoroughly sterilized,is permissible when other means of diagnosis are not sufficient to establish thefact of penetration; but the greatest care must be taken to avoid carryinginfection into the depths of the wound. Com
American practice of surgery : a complete system of the science and art of surgery . of a very severe type sometimes supervenes, and the patientmay succumb to pyaemia or septicaemia. Diagnosis.—The diagnosis is usually easy, but it is sometimes difficultbecause of the small dimensions of the wound in the skin. The use ofan aseptic probe in aseptic hands, after the skin has been thoroughly sterilized,is permissible when other means of diagnosis are not sufficient to establish thefact of penetration; but the greatest care must be taken to avoid carryinginfection into the depths of the wound. Complications.—Tetanus may supervene here as elsewhere, especially insmall punctured wounds. 750 AMERICAN PRACTICE OF SURGERY. Hemorrhage into the joint cavity is by no means unusual. The hemorrhagiceffusion forms a good nidus for the spread of infection. Extensive splintering of the bones in the vicinity of the joint is often amarked feature in gunshot wounds. This statement is particularly true of theold, heavy bullets possessed of but low velocity. The modern bullet does not. Fig. 30S.—Synovial Pouch of the KneeJoint Seen from the Outer Side of the Limb.(AfterPoirier.) 1. Patella: 2,femur; 3, an-terior tuberosity of the tibia; 4, fibula; 5,tendon of the popliteus muscle ; 6, interartic-ular cartilaginous disc ; 7. anteriorandsuperi-or portion of the .synovial pouch; 7, uppercul-de-sac. sometimes separated from 7 by amembranous partition; 7. popliteal pro-longation of the pouch, 8. posterior or con-dyloid portion of the pouch ; S, an extensionor process of the pouch which is rarely absentand which is the starting-po nt of poplitealcysts; 9, lower portion of the synovial pouch,lying between the semilunar fibro-cartilagesand the tibia. Fig. 309.—Antero-posterior Vertical Sec-tion of the Knee Joint. (After Testut.) 1,Femur; 2, tibia; 3, patella; 4, triceps muscle;4, muscular fibres which serve to render thesynovial pouch tense; 5, ligamentum patella?;6, posterior ligament o
Size: 1700px × 1469px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorbuckalbe, bookcentury1900, bookdecade1900, bookyear1906
