Surgery : its theory and practice / by William Johnson Walsham.

  • William Walsham
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: Surgery : its theory and practice / by William Johnson Walsham. Source: Wellcome Collection.

    225/864 page 209
    there is a taint of gout, struma or rheumatism, appro- priate remedies for these affections must, of course, be given. EaREFYI?s-G OSTEITIS, C.\RIES, OR TLCERATIOiS'- OF BONE, IS comparable to ulceration of the soft tissues, and is characterized by the rarefaction, molecular death, and loss of substance of the bone-tissue, and the tendency of the Fk. 45.—Diagram of cai'ies. a. Granulation-tissue ; b. Small- cell-exudation destroying the bone ; c. Small-cell-exudation between vessels and walls of the Haversian canals ; d. Normal bone. inflammatory exudation to caseous degeneration and suppuration. Cause.—Tubercle, struma and syphilis are undoubtedly the most frequent causes of caries. Sometimes, however, canes would appear to depend on a debilitated state of the system, m which there is no evidence of tubercle or sji^hihs, and to which the term sti'uma can hardly- Avith propriety be applied. Occasionally it is the result of an injury. Patlwhfjy.-—CaviQH, as has already boon stated, is one of the terminations of osteitis ; indeed, it is often some- what diflioult to say whore osteitis ends and caries begins In caries the thinned ami eroded trabeculioof the inflamed bone become still further thinned and eroded by the action f the small-cell-oxudation and osteoclasts until the affected portion of the bone is comph^tely destroyed and i'C])lacod by granulatioii-Hssuc. Tlinlor apiironriato treatment ossification ol' tlu; gi'anulation-tissu./may occur; more often, however, espucially in tuboreulou's
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