American practice of surgery : a complete system of the science and art of surgery . int is much more apt to remain chronically inflamedwithout presenting at any time evidences of an acute inflammation. WOUNDS OF JOINTS. 747 A diagnosis is readih7 made from the history of the case and from the symp-toms enumerated above. Complications.—In addition to the chronic inflammatory condition men-tioned above, one may sometimes find that the semilunar cartilages have becomedisplaced because of the trauma. Should the injury have been sufficientlysevere to cause rupture of any of the ligaments, permanen


American practice of surgery : a complete system of the science and art of surgery . int is much more apt to remain chronically inflamedwithout presenting at any time evidences of an acute inflammation. WOUNDS OF JOINTS. 747 A diagnosis is readih7 made from the history of the case and from the symp-toms enumerated above. Complications.—In addition to the chronic inflammatory condition men-tioned above, one may sometimes find that the semilunar cartilages have becomedisplaced because of the trauma. Should the injury have been sufficientlysevere to cause rupture of any of the ligaments, permanent damage may ensue,because the knee-joint depends entirely upon its ligaments for strength. Noreal concavities or convexities of the bones exist. The crucial ligaments ( and 306) are adjusted to limit extension, to control the movements of the femur Patellar surface of feraui Impression of external semi-lunar cartilage External lateral ligament Cut tendon of biceps flexorcruris muscle External lateral ligament Opening in interosseous membrane for anterior tibial vessels. emilunar facet for patella ternal tibial suiface of osterior crucial ligament Anterior crucial ligament Transverse ligamentInternal semilunar tibro-cartilaga Iuternal lateral ligamentigamentum patellae Inner perpendicular facet onpatella Fig. 305.—Dissection of the Knee Joint from the Front; Patella thrown Down. (From Cunning-hams Textbook of Anatomy.) and tibia in the antero-posterior plane, to carry some of the weight when the legis swinging clear of the ground, and possibly to assist in producing close contactof the joint surfaces in internal rotation. The semilunar fibro-cartilages (Fig. 307)may be considered as the semicircular remains of complete interarticular fibro-cartilage discs with the centres worn through, leaving sharp free edges directedtoward the tibial spines and a thick periphery still attached to the inside of thecapsule. The fully extended knee does not admit of lateral motion or


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Keywords: ., bookauthorbuckalbe, bookcentury1900, bookdecade1900, bookyear1906