A system of surgery : pathological, diagnostic, therapeutic, and operative . e patient, a man of twenty-seven, had labored undersynovial irritation for many years, attended with partial anchylosis, and muchpain and tenderness, which were always aggravated upon the slightest subcutaneous incision being made into the articulation, the tumor was detachedby a few turns of the point of the knife, and immediately extracted with a verydelicate, slender pair of forceps. The wound, closed with collodion, healed bythe first intention, no untoward symptom occurring, as far as the joint was con
A system of surgery : pathological, diagnostic, therapeutic, and operative . e patient, a man of twenty-seven, had labored undersynovial irritation for many years, attended with partial anchylosis, and muchpain and tenderness, which were always aggravated upon the slightest subcutaneous incision being made into the articulation, the tumor was detachedby a few turns of the point of the knife, and immediately extracted with a verydelicate, slender pair of forceps. The wound, closed with collodion, healed bythe first intention, no untoward symptom occurring, as far as the joint was con-cerned. Some erysipelas, however, appeared upon the skin, and a week afterwardsa large abscess formed at the inner and middle part of the thigh, which somewhatretarded recovery. Another tumor, doubtless of a similar nature, was foundoccupying the deeper portion of the joint, but, dreading farther interference, itwas thought best not to meddle with it. The functions of the knee were muchimproved by the operation. 1002 DISEASES AND INJURIES OF JOINTS. CHAP. IX. Fi£?. The tumor, after ablation, was found to be of a pale greenish color, extremely firm and tough in consistence, smooth, glisten-ing, and somewhat vascular on the surface,and of a distinctly fibrous structure. 4. There is a curious growth of the synovialmembrane, to which, from the peculiarity ofits appearance, the term, fimbriated has beenapplied. It is chiefly observed in the largejoints, as in those of the knee and hip, andconsists of innumerable little bodies of allsizes, from that of a millet seed up to thatof a pea, of a pale yellowish or whitish color,and bearing a very close resemblance to theepiploic appendages of the large a smooth, glistening appearance, they studthe free surface of the synovial membrane inevery direction, being connected to it eitherby a broad base, or, as is more generally thecase, by a narrow, slender pedicle. Theirstructure is evidently of a fibro-cellular char-acter,
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
