The practice of surgery . sease of the bone, and of the car-tilages ; and to the formation of loose bodies•within the synovial cavity. It is not suitablefor the operation of Resection. Housemaids Knee—that is, enlargementof the bursa over the patella—is extremelycommon in housemaids, shopkeepers, andothers who habitually exert much pressure onthis part. The affection is usually chronic ;sometimes, however, the case is acute, and aptthen to be associated with erysipelas. Theordinary treatment is required (Principles, 3dAm. Ed. p. 511). Abscess of the Ham is by no means unfre-quent; and maybe co
The practice of surgery . sease of the bone, and of the car-tilages ; and to the formation of loose bodies•within the synovial cavity. It is not suitablefor the operation of Resection. Housemaids Knee—that is, enlargementof the bursa over the patella—is extremelycommon in housemaids, shopkeepers, andothers who habitually exert much pressure onthis part. The affection is usually chronic ;sometimes, however, the case is acute, and aptthen to be associated with erysipelas. Theordinary treatment is required (Principles, 3dAm. Ed. p. 511). Abscess of the Ham is by no means unfre-quent; and maybe connected with exfoliationfrom the posterior part of the femur. Whenthe portion of dead bone is large, considerabledifficulty may be experienced in effecting itsremoval; and free incision may be such circumstances, caution is obviously • • l 1 « *~ 4-l,„ „„!„.„ Enlarged Bursn over the Iatella, required, lest injury be done to the artery, ^ n n]t o( ^ m.,._ |lnii,.vein, or nerve. maids 644 TUMORS OF THE HAM. Tumors may form in the ham. As already stated, it is perhaps themost frequent site of external aneurism. Ganglionic and bursal enlargements form, producing more or lessinconvenience; and these may be treated by repeated puncture bymeans of a trocar and canula, or by puncture followed by injection, asin hydrocele. Erectile, fatty, encysted, and fibrous tumors are also met with. Theordinary treatment is required. Removal should be early, before deepand inconvenient attachments have been formed. In addition to the ordinary authorities on Diseases of the Joints, see Coulson, on Dis-eases of the Hip-Joint, London, 1841. Hugman, on Morbus Coxarius, &c. London, 1850. CHAPTER XL. INJURIES OF THE LOWER EXTREMITIES Fractures. Fractures of the Pelvis. The bones of the pelvis give way only under grent and crushingforce; a heavy weight, for example, passing over or falling on the is but little displacement ; muscles not tending thereto. T
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