. The principles of surgery . ionof cartilage, it is slow, gradual, never great,and long subsequent to the feeling of uneasiness in the part. In chronicdegeneration of the synovial membrane, on the other hand, the swellingis slow, and somewhat uniform; but still it is coeval with uneasiness,and elastic, doughy, and superficial—not deep and obscurely fluctuating,like that which attends on destruction of cartilage. The latter swell-ing, too, is intolerant of pressure, pain being thereby much increased;the other, on the contrary, is capable of bearing manipulation withcomparative impunity. When s
. The principles of surgery . ionof cartilage, it is slow, gradual, never great,and long subsequent to the feeling of uneasiness in the part. In chronicdegeneration of the synovial membrane, on the other hand, the swellingis slow, and somewhat uniform; but still it is coeval with uneasiness,and elastic, doughy, and superficial—not deep and obscurely fluctuating,like that which attends on destruction of cartilage. The latter swell-ing, too, is intolerant of pressure, pain being thereby much increased;the other, on the contrary, is capable of bearing manipulation withcomparative impunity. When swelling has become fully established, the disease is no longerlimited to cartilage, but involves all textures. Pus accumulates;deposit and change of structure take place in the synovial membrane Fig. 161. Wasting of muscles shown, with elongation of limb, in disease of the hip-joint. The muscular deficiency is but imperfectly represented; the change of natalfold, resulting from it, is however sufficiently apparent — ADVANCED ARTICULAR DISEASE. 483 Fig. 162.
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