File:Lectures on orthopedic surgery (1899) (14773592601).jpg

Identifier: lecturesonortho00ridl (find matches)
Title: Lectures on orthopedic surgery
Year: 1899 (1890s)
Authors: Ridlon, John, 1852-1936 Thomas, Hugh Owen, 1834-1891 Jones, Robert, joint author
Subjects: Orthopedics
Publisher: Philadelphia, E. Stern & Co., Inc.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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joint, more or less disabilityfrom restricted motion, and tenderness, and not infre-quently there is pain. The foot becomes extended,walking is more difficult, the swelling increases, thelower end of the tibia and fibula become thickened, thebony outlines of the malleoli are lost in a pulpy swell-ing, and ultimately one or more tuberculous abscessesform at one or both sides of the joint. Tuberculoussynovitis commences with a limp; soon there appearsa pulpy swelling about one or both malleoli, the footbecomes extended and the normal motions are re-stricted, the swelling increases, and the part presentsall the symptoms detailed above as developing upon atraumatic synovitis. In the osteitic form of disease, the first symptom isthe limp, pain comes on earlier and is more severe, thefoot becomes extended, and all motions may be abol-ished before any swelling can be made out. Sooner orlater the synovial membrane becomes involved, and thesymptoms of a tuberculous synovitis appear; or a small
Text Appearing After Image:
Fig. 173.—A tuberculous ankle with sinus on the outer side. 213 spot of pulpy swelling may appear at one or the otherside of the foot without involving the joint-capsule.

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