Chapter 1

DISEASES OF JOINTS 501

INDEX 547

LIST OF ILLUSTRATIONS

FIG. PAGE

1. Ulcer of Back of Hand grafted from Abdominal Wall 15

2. Staphylococcus aureus in Pus from case of Osteomyelitis 25

3. Streptococci in Pus from case of Diffuse Cellulitis 26

4. Bacillus coli communis in Pus from Abdominal Abscess 27

5. Fraenkel's Pneumococci in Pus from Empyema following 28 Pneumonia

6. Passive Hyperæmia of Hand and Forearm induced by Bier's 37 Bandage

7. Passive Hyperæmia of Finger induced by Klapp's Suction 38 Bell

8. Passive Hyperæmia induced by Klapp's Suction Bell for 39 Inflammation of Inguinal Gland

9. Diagram of various forms of Whitlow 56

10. Charts of Acute Sapræmia 61

11. Chart of Hectic Fever 62

12. Chart of Septicæmia followed by Pyæmia 63

13. Chart of Pyæmia following on Acute Osteomyelitis 65

14. Leg Ulcers associated with Varicose Veins 71

15. Perforating Ulcers of Sole of Foot 74

16. Bazin's Disease in a girl æt. 16 75

17. Syphilitic Ulcers in region of Knee 76

18. Callous Ulcer showing thickened edges 78

19. Tibia and Fibula, showing changes due to Chronic Ulcer of 80 Leg

20. Senile Gangrene of the Foot 89

21. Embolic Gangrene of Hand and Arm 92

22. Gangrene of Terminal Phalanx of Index-Finger 100

23. Cancrum Oris 103

24. Acute Bed Sores over right Buttock 104

25. Chart of Erysipelas occurring in a wound 108

26. Bacillus of Tetanus 113

27. Bacillus of Anthrax 120

28. Malignant Pustule third day after infection 122

29. Malignant Pustule fourteen days after infection 122

30. Colony of Actinomyces 126

31. Actinomycosis of Maxilla 128

32. Mycetoma, or Madura Foot 130

33. Tubercle bacilli 134

34. Tuberculous Abscess in Lumbar Region 141

35. Tuberculous Sinus injected through its opening in the 144 Forearm with Bismuth Paste

36. Spirochæte pallida 147

37. Spirochæta refrigerans from scraping of Vagina 148

38. Primary Lesion on Thumb, with Secondary Eruption on 154 Forearm

39. Syphilitic Rupia 159

40. Ulcerating Gumma of Lips 169

41. Ulceration in inherited Syphilis 170

42. Tertiary Syphilitic Ulceration in region of Knee and on 171 both Thumbs

43. Facies of Inherited Syphilis 174

44. Facies of Inherited Syphilis 175

45. Subcutaneous Lipoma 185

46. Pedunculated Lipoma of Buttock 186

47. Diffuse Lipomatosis of Neck 187

48. Zanthoma of Hands 188

49. Zanthoma of Buttock 189

50. Chondroma growing from Infra-Spinous Fossa of Scapula 190

51. Chondroma of Metacarpal Bone of Thumb 190

52. Cancellous Osteoma of Lower End of Femur 192

53. Myeloma of Shaft of Humerus 195

54. Fibro-myoma of Uterus 196

55. Recurrent Sarcoma of Sciatic Nerve 198

56. Sarcoma of Arm fungating 199

57. Carcinoma of Breast 206

58. Epithelioma of Lip 209

59. Dermoid Cyst of Ovary 213

60. Carpal Ganglion in a woman æt. 25 215

61. Ganglion on lateral aspect of Knee 216

62. Radiogram showing pellets embedded in Arm 228

63. Cicatricial Contraction following Severe Burn 236

64. Genealogical Tree of Hæmophilic Family 278

65. Radiogram showing calcareous degeneration of Arteries 284

66. Varicose Vein with Thrombosis 289

67. Extensive Varix of Internal Saphena System on Left Leg 291

68. Mixed Nævus of Nose 296

69. Cirsoid Aneurysm of Forehead 299

70. Cirsoid Aneurysm of Orbit and Face 300

71. Radiogram of Aneurysm of Aorta 303

72. Sacculated Aneurysm of Abdominal Aorta 304

73. Radiogram of Innominate Aneurysm after Treatment by 309 Moore-Corradi method

74. Thoracic Aneurysm threatening to rupture 313

75. Innominate Aneurysm in a woman 315

76. Congenital Cystic Tumour or Hygroma of Axilla 328

77. Tuberculous Cervical Gland with Abscess formation 331

78. Mass of Tuberculous Glands removed from Axilla 333

79. Tuberculous Axillary Glands 335

80. Chronic Hodgkin's Disease in boy æt. 11 337

81. Lymphadenoma in a woman æt. 44 338

82. Lympho Sarcoma removed from Groin 339

83. Cancerous Glands in Neck, secondary to Epithelioma of Lip 341

84. Stump Neuromas of Sciatic Nerve 345

85. Stump Neuromas, showing changes at ends of divided Nerves 354

86. Diffuse Enlargement of Nerves in generalised 356 Neuro-Fibromatosis

87. Plexiform Neuroma of small Sciatic Nerve 357

88. Multiple Neuro-Fibromas of Skin (Molluscum fibrosum) 358

89. Elephantiasis Neuromatosa in a woman æt. 28 359

90. Drop-Wrist following Fracture of Shaft of Humerus 365

91. To illustrate the Loss of Sensation produced by Division 367 of the Median Nerve

92. To illustrate Loss of Sensation produced by Complete 368 Division of Ulnar Nerve

93. Callosities and Corns on Sole of Foot 377

94. Ulcerated Chilblains on Fingers 378

95. Carbuncle on Back of Neck 381

96. Tuberculous Elephantiasis 383

97. Elephantiasis in a woman æt. 45 387

98. Elephantiasis of Penis and Scrotum 388

99. Multiple Sebaceous Cysts or Wens 390

100. Sebaceous Horn growing from Auricle 392

101. Paraffin Epithelioma 394

102. Rodent Cancer of Inner Canthus 395

103. Rodent Cancer with destruction of contents of Orbit 396

104. Diffuse Melanotic Cancer of Lymphatics of Skin 398

105. Melanotic Cancer of Forehead with Metastasis in Lymph 399 Glands

106. Recurrent Keloid 401

107. Subungual Exostosis 403

108. Avulsion of Tendon 410

109. Volkmann's Ischæmic Contracture 414

110. Ossification in Tendon of Ilio-psoas Muscle 417

111. Radiogram of Calcification and Ossification in Biceps and 418 Triceps

112. Ossification in Muscles of Trunk in generalised Ossifying 419 Myositis

113. Hydrops of Prepatellar Bursa 427

114. Section through Gouty Bursa 428

115. Tuberculous Disease of Sub-Deltoid Bursa 429

116. Great Enlargement of the Ischial Bursa 431

117. Gouty Disease of Bursæ 432

118. Shaft of the Femur after Acute Osteomyelitis 444

119. Femur and Tibia showing results of Acute Osteomyelitis 445

120. Segment of Tibia resected for Brodie's Abscess 449

121. Radiogram of Brodie's Abscess in Lower End of Tibia 451

122. Sequestrum of Femur after Amputation 453

123. New Periosteal Bone on Surface of Femur from Amputation 454 Stump

124. Tuberculous Osteomyelitis of Os Magnum 456

125. Tuberculous Disease of Tibia 457

126. Diffuse Tuberculous Osteomyelitis of Right Tibia 458

127. Advanced Tuberculous Disease in Region of Ankle 459

128. Tuberculous Dactylitis 460

129. Shortening of Middle Finger of Adult, the result of 461 Tuberculous Dactylitis in Childhood

130. Syphilitic Disease of Skull 463

131. Syphilitic Hyperostosis and Sclerosis of Tibia 464

132. Sabre-blade Deformity of Tibia 467

133. Skeleton of Rickety Dwarf 470

134. Changes in the Skull resulting from Ostitis Deformans 474

135. Cadaver, illustrating the alterations in the Lower Limbs 475 resulting from Ostitis Deformans

136. Osteomyelitis Fibrosa affecting Femora 476

137. Radiogram of Upper End of Femur in Osteomyelitis Fibrosa 478

138. Radiogram of Right Knee showing Multiple Exostoses 482

139. Multiple Exostoses of Limbs 483

140. Multiple Cartilaginous Exostoses 484

141. Multiple Cartilaginous Exostoses 486

142. Multiple Chondromas of Phalanges and Metacarpals 488

143. Skiagram of Multiple Chondromas 489

144. Multiple Chondromas in Hand 490

145. Radiogram of Myeloma of Humerus 492

146. Periosteal Sarcoma of Femur 493

147. Periosteal Sarcoma of Humerus 493

148. Chondro-Sarcoma of Scapula 494

149. Central Sarcoma of Femur invading Knee Joint 495

150. Osseous Shell of Osteo-Sarcoma of Femur 495

151. Radiogram of Osteo-Sarcoma of Femur 496

152. Radiogram of Chondro-Sarcoma of Humerus 497

153. Epitheliomatus Ulcer of Leg invading Tibia 499

154. Osseous Ankylosis of Femur and Tibia 503

155. Osseous Ankylosis of Knee 504

156. Caseating focus in Upper End of Fibula 513

157. Arthritis Deformans of Elbow 525

158. Arthritis Deformans of Knee 526

159. Hypertrophied Fringes of Synovial Membrane of Knee 527

160. Arthritis Deformans of Hands 529

161. Arthritis Deformans of several Joints 530

162. Bones of Knee in Charcot's Disease 533

163. Charcot's Disease of Left Knee 534

164. Charcot's Disease of both Ankles: front view 535

165. Charcot's Disease of both Ankles: back view 536

166. Radiogram of Multiple Loose Bodies in Knee-joint 540

167. Loose Body from Knee-joint 541

168. Multiple partially ossified Chondromas of Synovial 542 Membrane from Shoulder-joint

169. Multiple Cartilaginous Loose Bodies from Knee-joint 543

MANUAL OF SURGERY