Injuries and diseases of the knee-joint : and their treatment by amputation and excision contrasted / by William Paul Swain.

  • Swain, William Paul
Date:
1869
Catalogue details

Licence: Public Domain Mark

Credit: Injuries and diseases of the knee-joint : and their treatment by amputation and excision contrasted / by William Paul Swain. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    side of the condyles are rougli surfaces for the attachment of the external and internal lateral liga- ments ; and on the side of the external condyle is also a smooth groove terminating in front in a depression, from which the popliteus muscle takes its rise. It is of importance to observe particularly the origin of this muscle, as in noticing certain pathological conditions of the joint we shall have again to refer to it. Bevelo])ment.—An ossific nucleus is not deposited in the lower extremity of this bone until the eighth or ninth month of foetal life; and although this is the first of its epiphyses in which bone is deposited, yet it is the last to become united to the shaft, com- plete union not being accomplished before the twen- tieth year.* Barwell relates a strumous case in which union did not take place until the twenty-fourth year.f The Tibia.—The head of the tibia presents two condyloid surfaces corresponding to the articular condyles of the femur. Between them rises the spine, and at its base, one in front and the other behind, are the depressions which give attachment to the crucial ligaments and semilunar cartilages of the joint. On the outer side of the head is the external tuberosity marked posteriorly by an articular surface for the head of the fibula; and on the inner side is the internal tuberosity, marked by a groove for the insertion of the tendon of the semi-mem- brauosus muscles. In fi'ont is the anterior tuberosity, * Humphry ' On Llie Huniiui Skeleton,' p. 476. t Barwcll. ' Disoasea of the Joints,' p. 6.
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