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.

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    growths of cartilage take place around the articular siu'facos and undergo ossification, forming the low nodular flattened osteophytes and the lipping of the articular ends of the bone so characteristic of the disease. Ossifi- cation may also occm- in the ligaments, tendons, and other soft structiu'es aroimd. .S'/i/)/.s.—When the disease is fully established it may be known by pain, increased on movement, and often worse Fig. 65.—Chronic osteo-artliritis of the hip. (St. Bartholomew's Hospit.il Museum.) at night and during changes of the weather; a charac- teristic creaking and harsh gi'ating felt on moving the .Toint; the detection of ma.sses of bono around; the limita- tion of the movement of the joint: and ab.scnce of heat and redness. In the hip there maybe eversion, shorten- ing a,nd much lameness; in the knee, swc^lling and thickening of the synovial mcinbnino, and deformity of the ])ateUa; arid in thr .shoulder, enlargement or di.s])lacc- ment of the head of tli<' bone. In the hip the disea.so may closely simuLite intnica,psula,r fracture of the neck of the fenuu-; in the shouldei', di.slocaticm of the humerus. (See Fraduru of Femur am/ JHshimiion vf Hhoahkr.)
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