The patient complains of increasing disability of the limb, movements of the joint becoming more and more restricted and painful. There is swelling corresponding to the distended capsule of the joint, and on palpation the bodies moving under the fingers yield a sensation as of grains of rice shifting in a bag. If the bodies are so numerous as to be tightly packed together, the impression is that of a plastic mass having the shape of the synovial sac. The stiffness and the cracking on movement may suggest arthritis deformans, but the X-ray appearances make the diagnosis an easy one. We have observed two cases of this affection in the knee-joint of adult women, one in the shoulder-joint of an adult male (Fig. 168), and Caird has observed one in the hip. The treatment consists in opening the joint by free incision and removing the bodies.
Displacement of the menisci of the knee is referred to with injuries of that joint.
INDEX
Abdominal aneurysm, 313
aorta, compression of, 269
embolus of, 93
Abscess, 46
acute circumscribed, 46
of bone, 448
Brodie’s, 448
chronic, 139
cold, 139
embolic, 66
formation of, 47
Hilton’s method of opening,
50
pointing of, 48
pyaemic, 287
residual, 141
of skin, multiple, 382
stitch, 51
treatment of, 49
tuberculous, 139, 141
peri-articular,
514, 517
Achillo-bursitis, 432
Achillo-dynia, 422
Acidosis, 251
Acromion bursa, 429
Actinomycosis, 126
Active hyperaemia, 39
Acupuncture in aneurysm, 308
Acute arthritis of infants, 440
necrosis of bone, 439
Adductor longus muscle, rupture of, 408
Adenoma, 202
malignant, 209
sebaceous, 393
of skin, 393
varieties of, 202
Adiposus dolorosa, 186
Aerobes, 19
Air embolism, 265
hunger, 276
Albumosuria, 195, 474, 492
Aleppo boil, 129
Alexins, 22
Ambrine, 13, 238
Amputation neuroma, 344
Anaerobes, 19
Anaesthesia, after nerve injuries, 347
Analgesia, 347
Anaphylaxis, 23
Anatomical tubercle, 134
Anatomy. See Surgical Anatomy
Anel’s operation for aneurysm, 307
Aneurysm, 300. See also Individual
Arteries
abdominal, 313
acupuncture in, 308
amputation in, 310
by anastomosis, 298
Anel’s operation for,
307, 310
arterio-venous, 263
axillary, 318
of bone, 498
brachial, 318
Brasdor’s operation
for, 308
cirsoid, 299
Colt’s method of wiring