The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . r ten days after the inflictionof the injury—or if, in the human sub-ject, opportunity for anatomical exam-ination be afforded—the followingcondition is observed: An extremelythick fibrin-containing pus, oftenblood-stained, adheres to the surfaceafter the usual thinner pus has portion of this may be washed awayby a gentle stream of water, but somematerial—whether we call it fibrinouspus or fibrinous exudation—mingledwith many leucocytes, adheres sofirmly, and is so entangled in t
The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . r ten days after the inflictionof the injury—or if, in the human sub-ject, opportunity for anatomical exam-ination be afforded—the followingcondition is observed: An extremelythick fibrin-containing pus, oftenblood-stained, adheres to the surfaceafter the usual thinner pus has portion of this may be washed awayby a gentle stream of water, but somematerial—whether we call it fibrinouspus or fibrinous exudation—mingledwith many leucocytes, adheres sofirmly, and is so entangled in theroughness of the surface, that it mustbe helped away and gently detachedwith a camels-hairpencil,or even withforceps.^ When this is accomplished,the inner surface of the synovialmembrane is found to be no longersmooth- but to be studded and covered Kx- li,-,^+ A^^iirfrtc /TT;^ AQ^^ Suppurative synovitis with fringe proliferation. b\ h:^ peitrophied tunges (J; ig. 530), ^^^^^ ^ ^^^^.^^^ .^ ^^^ ^^^^^^^ ^^^^^ p^^^j ^^^^^^^which branch into many ramifications, of surgeons.) ^im^. Vol. I. page 38. * This account is partly taken from experiments related by M. Richet, partly from certainwork of my own in the same direction, which circumstances forbid me further to specify, save tosay that the object of my research was to study the phenomena of fringe-hypertrophy. This examination should be carried on under water, a gentle stream flowing into the vessel,and clearing away the opacity caused by the admixture of secretion and debris. 280 DISEASES OF THE JOIXTS. and look almost like a discolored moss, or sometimes like that singular funguswhich hangs iVom the ceilings of old wine cellars. Nor are these beautifulgrowths confined to those parts of the joint which are normally the seats offringes; tlicy arise from the wIk^Ic inner surface of the membrane and hanginto the joint, while some, breaking away, float free in the tluid, and, un-dergoing fatty degeneration an
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