. Lectures on surgical pathology : delivered at the Royal College of Surgeons of England. ory-like substance, harder than the healthy bone. Again, for examples of softening in inflam-mation, I may adduce the softening of liga-ments, such as permits that great yielding ofthem which we almost always see in cases ofinflamed joints. This is not from mere defec-tive nutrition; for it does not happen in thesame form, or time, or measure, in cases of pa-ralysis or paraplegia engendering extremeemaciation, l^either is it from the soaking ofthe ligaments with the fluid products of theinflammation; for
. Lectures on surgical pathology : delivered at the Royal College of Surgeons of England. ory-like substance, harder than the healthy bone. Again, for examples of softening in inflam-mation, I may adduce the softening of liga-ments, such as permits that great yielding ofthem which we almost always see in cases ofinflamed joints. This is not from mere defec-tive nutrition; for it does not happen in thesame form, or time, or measure, in cases of pa-ralysis or paraplegia engendering extremeemaciation, l^either is it from the soaking ofthe ligaments with the fluid products of theinflammation; for it does not happen in theabundant effusions of the slighter inflammationsof the joints; and when ligaments are long ma-cerated in water they yet retain nearly all theirinextensibility. It appears to be a peculiarsoftening, or diminished cohesion of the proper * In the College Museum, Nos. 593 to 600, and 3985 to 3094 ; and in the Mnseum ofSt. Bartholomews, Series i, Nos. 56, 94, 13S, 196, 197, 198. &c. f Fig. 40. From a specimen in the Museum at St. Bartholomews, Series i, No. INTEESTITIAL ABSORPTION OF INFLAMED PAETS. 279 tissue of the ligaments; the result of a degeneration combined with in-filtration of inflammatory products. We may see such changes in the ligaments of all joints; in the hip,in the cases of spontaneous dislocation occasionally seen, independentof suppuration or ulceration of the parts belonging to the joint; in thewrist, when the ulna after disease becomes so prominent; in the verte-brae, especially in the ligaments of the atlas and axis. But we see theeifects of this softening best in diseased knee-joints and elbow-joints;and in all these cases we may often observe an interesting later changewhen the inflammation passes by. The ligaments, softened during theinflammation, yield to the weight of the limb, or more rarely, to a mus-cular force, and the joint is distorted. Then, if the inflammation sub-sides, and the normal method of nutrition in the joint
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