American practice of surgery : a complete system of the science and art of surgery . ay insidiously over the surface of the articularcartilage, which in turn becomes invaded by disease. It is seldom one findsany fluid in the joint once the disease has progressed sufficiently to causemarked thickening of the synovial membrane. The changes which occur in the bone are those characteristic of the invasionof cancellous osseous tissue by tuberculosis, as already described. Here again the vol. in.—44 690 AMERICAN PRACTICE OF SURGERY. size of the epiphyses at the knee provides an extensive mass of can
American practice of surgery : a complete system of the science and art of surgery . ay insidiously over the surface of the articularcartilage, which in turn becomes invaded by disease. It is seldom one findsany fluid in the joint once the disease has progressed sufficiently to causemarked thickening of the synovial membrane. The changes which occur in the bone are those characteristic of the invasionof cancellous osseous tissue by tuberculosis, as already described. Here again the vol. in.—44 690 AMERICAN PRACTICE OF SURGERY. size of the epiphyses at the knee provides an extensive mass of cancellous bonewhich may be invaded extensively without a communication being necessarilyestablished with the joint cavity: the disease may in fact reach the surface with-out opening up the joint. A sequestrum may form in the epiphysis. Suchac:i-ris illustrated in Plate XXY, Fiji. 1, where a sequestrum is seen in the inner por-tion of the tibial epiphysis in a child ten years of age. On the other hand, thedisease may spread to the cartilage and may eventually cause its destruction. ft
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Keywords: ., bookauthorbuckalbe, bookcentury1900, bookdecade1900, bookyear1906