A system of surgery : theoretical and practical . hrough a spontaneous opening or apuncture, enables the surgeon to determine the natui-e of the disease this, the symptoms are precisely those of any other cystic tumour of thebone. The treatment appears to be usually successful. The cyst is to be freely laidopen, with the trephine or bone-nippers if necessary ; all the hydatids removed, andsome caustic ^ applied to the whole interior of the cyst. In most of the recordedcases this has been sufficient; but in Mr. Coulsons case the cure was not completeduntil after the separatio


A system of surgery : theoretical and practical . hrough a spontaneous opening or apuncture, enables the surgeon to determine the natui-e of the disease this, the symptoms are precisely those of any other cystic tumour of thebone. The treatment appears to be usually successful. The cyst is to be freely laidopen, with the trephine or bone-nippers if necessary ; all the hydatids removed, andsome caustic ^ applied to the whole interior of the cyst. In most of the recordedcases this has been sufficient; but in Mr. Coulsons case the cure was not completeduntil after the separation of a small piece of bone from the floor of the cavity, whichon examination was found thickly studded on both its surfaces with a great numberof minute hydatids. Hypertrophy and Atrophy of Bone. The condition of bone usually known by the name of hypertrophy is verygenerally the consequence of chronic ostitis, and would perhaps be more conveniently Fig. 63. —nypertrophy of the Crauium. (Museum of the Royal College ofSiu-aeoixs, No. :3<So8.). j: ^


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