Annals of surgery . Fig. V/RIST RESECTION. 103 Case II.—Miss L. H., aged 21 years, who had been sufferingfor several years with pain and swelHng in the wrist, whichgreatly increased in size and developed into a typical spindle-shaped tubercular joint. The tubercular process in the boneliquefied, and extended into the soft structures about the in the neighborhood of the ulna, the enlargementextending up the forearm about twelve inches. The abscessopened spontaneously and had been discharging for severalmonths. An X-ray picture was taken which, as can be seen (). showed


Annals of surgery . Fig. V/RIST RESECTION. 103 Case II.—Miss L. H., aged 21 years, who had been sufferingfor several years with pain and swelHng in the wrist, whichgreatly increased in size and developed into a typical spindle-shaped tubercular joint. The tubercular process in the boneliquefied, and extended into the soft structures about the in the neighborhood of the ulna, the enlargementextending up the forearm about twelve inches. The abscessopened spontaneously and had been discharging for severalmonths. An X-ray picture was taken which, as can be seen (). showed a disorganization of the semilunar and cuneiformbones. The operation consisted of a free incision into the internalsurface of the carpal bones, the incision being made between thetendons of the flexor and extensor carpi ulnaris. Through thisopening the disorganized bones were found and removed. Asthe X-ray picture (Fig. 3) shows, the entire semilunar and cunei-form, a portion of the pisiform, and a portion of the scaphoid


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885