Tuberculosis of Bones and Joints

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1893 edition. Excerpt: ...appeared to improve, but later her general condition became gradually worse, and an abscess formed. Resection of the hip-joint was made July 16th. September 9th the wound was nearly healed and the general condition much improved. The resected specimen contained a number of caseous foci, which, at least in part, would explain the failure of the iodoform treatment. Case VI. Girl, aged 7, child of healthy parents, has been suffering for two months from chronic inflammation of the knee-joint. Swelling has only recently appeared; limb is flexed at an angle of 140 degrees; pain aggravated on motion of the joint; no fluctuation; tenderness over condyles of femur. Diagnosis: Dry fungous synovitis with osseous foci in condyles of femur. Half an ounce of iodoform emulsion was injected into the joint and the thickened capsule at six different times from March 18th to July 28th. On August 13th the joint was carefully examined, and the appearances were such as to warrant the assumption that the joint-lesion was cured. Pain and tenderness on moving the joint, as well as in the condyles of the femur, had disappeard. The limb was now easily straightened, while the patient was under the influence of an anaesthetic, and immobilized in a plaster-of-Paris dressing. September llth, splint removed; position of limb satisfactory; further treatment, consisting of massage, passive motion, directed. Patient can walk without the aid of mechanical support. Pain, tenderness, and swelling have disappeared completely. Case VII. Laborer, aged 19; very good family history; two years ago had an attack of peritonitis, which was followed by pain and swelling of one of the wrist-joints. An abscess formed and was opened four months after commencement of joint affection. An operation...