A system of surgery : pathological, diagnostic, therapeutic, and operative . and, the inner structure is involved, theendosteum is sure to suffer, assuming a discolored, bloodshot appearance, while theadipose matter is either rapidly absorbed, or converted into a soft diffluent mass,of a light reddish hue, and of a peculiarly fetid character. When the inflamma-tion of the bone is at all extensive, both periosteum and endosteum participatein the morbid action, and it is in these cases, more especially, that, the circulationbeing cut off by fibrinous exudations, necrosis is liable to arise. Oste
A system of surgery : pathological, diagnostic, therapeutic, and operative . and, the inner structure is involved, theendosteum is sure to suffer, assuming a discolored, bloodshot appearance, while theadipose matter is either rapidly absorbed, or converted into a soft diffluent mass,of a light reddish hue, and of a peculiarly fetid character. When the inflamma-tion of the bone is at all extensive, both periosteum and endosteum participatein the morbid action, and it is in these cases, more especially, that, the circulationbeing cut off by fibrinous exudations, necrosis is liable to arise. Osteitis may terminate in resolution, the morbid phenomena gradually disap-pearing, and the affected structures regaining their primitive texture ; or thedisease may cease, and the bone become indurated and enlarged by interstitialosseous deposits; or, lastly, the inflammation may pass into suppuration, ulcera-tion, softening, or mortification, the results resembling those of inflammation ofthe soft parts. It is seldom that a bone, after having been inflamed for any Fi^. • Hypertrophy of the tibia from inflammation. length of time, will not, upon recovery, remain somewhat hypertrophied, orlarger and harder than it was before the attack, as seen in fig. 293. It is, infact, natures mode of cure, the process which she employs for repairing themischief committed by the disease. Causes.—The causes of osteitis are either traumatic or constitutional, theformer consisting of injuries inflicted in surgical operations, fractures, contusions,and wounds, especially gunshot and punctured, and the latter of a syphilitic,strumous, scorbutic, rheumatic, or gouty taint of the system, together with theoperation of cold. The disease may begin directly in the osseous tissue, or thismay be involved secondarily, from extension of the disease from the surroundingparts. Thus, in dislocations, particularly compound, and also in simple disloca-tions of the larger hinge-joints, as the elbow and kne
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
