The formation of abnormal synovial cysts in connection with the joints / by W. Morrant Baker.

  • William Morrant Baker
Date:
[1885]
Catalogue details

Licence: Public Domain Mark

Credit: The formation of abnormal synovial cysts in connection with the joints / by W. Morrant Baker. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    12/16 (page 12)
    membrane. A pad was applied; and a few days afterwards the patient left the hospital wearing a plaster of Paris bandage. I have seen one other case very like the two which have been just recorded. Case Y. Synovial Cyst in connection with the Hip-Joint. [I am indebted to Mr. Thomas Smith for an opportunity of seeing on several occasions the patient to whom the following account belongs, which lias been published by Mr. Stephen Paget in the 36th volume of the Trans. Path. Soc. of London, p. 342.] “William B., house-decorator, set. 34. Father rheumatic; himself healthy, except for rheumatism. Four children, all very healthy ; has lost none. The history of bis case is as follows:— In 1874 be began to feel pain in the left hip and knee. In 1876 these pains interfered with bis work. He was in St. George’s Hospital for four months, and then in the Koval Free Hospital. In 1877 he was in St. Bartholomew’s Hospital under Mr. Thomas Smith. The left hip was immoveable; the left knee was stiff; there was slight fulness below Poupart’s ligament; and the note taken at this time puts “deep-seated fluctua- tion (?).” He was treated by extension of the limb with a weight of 10 lbs., and was sent out on crutches. In 1883 be was again admitted, having managed to get about and do his work for the last six years. The movement of the left knee was now much impaired,- and of the left hip still more. There was pain only after exertion. The limb was everted and three-quarters of an inch shortened. The trochanter was thickened. The whole of Scarpa’s triangle, from Poupart’s ligament to the middle of the 1 high, and inward as far as the edge of the adductor longus, was occupied by a large hemi- spherical cyst, fluctuating throughout, measuring yi inches ver- tically by 7 across. If was tapped, and 42 oz. of yellow alkaline fluid drawn off, of specific gravity 1028, containing much flit and cholesterine. Next month it was again tapped. lu 1884 it was again tapped, and 40 oz. of fluid, evidently synovial, were drawn off’. * In 1885 (March) he can get about well enough to do his work, and can walk two miles. He has lately suffered from more pain. There are pain and creaking noises in both shoulders. He com-