A treatise on diseases of the bones / By Thomas M. Markoe.
- Thomas M. Markoe
- Date:
- 1872
Licence: Public Domain Mark
Credit: A treatise on diseases of the bones / By Thomas M. Markoe. Source: Wellcome Collection.
Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.
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![and its rupture to tuko ])laec into it (Fig. 0). Of tliis, numer- ous exaini>ks arc on rect»nl, and it need hardly be said that this rehition to the joint becomes, in such instances, the inijtortant feature of tlie case, demanding an early recognition and a prompt evacuation, if any liope is to be en- tertained of saving tlie limb, and, perhaps, the life of the patient. The clinical fea- tures of this disease seem to be mainly V those of chronic osteitis, but characterized * by the frequent recurrence of attacks of pain, and other evidences of increased in- r Hammation, each of which attacks subsides, leaving the bone gradually enlarging, some- what tender to the touch, and a little hot- no. c.-(K.-oui Erichsen.) ^^.j. ^j^.^^^ j^ sliould be, as tlic principal signs of the condition of chronic inflammation which maintains itself in the intervals between the acute attacks. The diagnosis of abscess cannot in all cases be made with certainty, but with Fucli a liistorv of frequently-recurring attacks of acute inflam- mation, sni)ervcning on a condition of permanent osteitis, we sliall rarely l)e wrong in suspecting the existence of pus. Oc- casionally the pus nnikes its way through its bony encasement, and approaches the surfiice, as in the following instance: Pierce Doheny, aged twenty-four, was admitted into the Xew York Ilosjiital, ^Lirch 2S, 1S«)(), -with an aflection of the upper part of the left tibia, of which he gives this account: AVhen he was about nine years old, he had an attack of inflam- mation in this leg, which terminated in abscess, with the dis- charge of a small fragment of bone. This process histed two years before the wounds Mere all liealed, and left the limb tender, but witliiuit any new attacks, until he wa.s twenty years old, when another attack came on, which was relieved by two blisters. This left the bone considerably enlarged, and more teiidiT tliMii ever 1o tlie slightest injury. Three months before his admission, he had another attack in the ti]>]>i'r part of the bone, which had never entirely ceased, being better and worse at times, but on tlii' whole gradually inereasimx in severity. .\t the time of aiimission the swelling occupied the upper third](https://iiif.wellcomecollection.org/image/b21014413_0044.jp2/full/800%2C/0/default.jpg)
