Un sistema di chirurgia : patologico, diagnostico, terapeutico, e di cura operativa. L'operazione di incisione è talvolta praticata in queste accumulazioni drospiche; ma poiché essa non è solo grave, ma può essere seguita da una violenta infiammazione, talvolta seriamente implicante un'articolazione vicina, dovrebbe essere abbandonata nel mio giudizio. 4. Intermescolato con il fluido sopra descritto, o che si verifica da solo, là CHAP. II APONEUROSES. 605 sono occasionalmente concrezioni sciolte, di consistenza densa fibrosa, fibro-cartilaginosa, o auto-tilaginosa, che, dal particolare

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A system of surgery : pathological, diagnostic, therapeutic, and operative . te cure is effected. The operation by incision is sometimes practised in these dropsical accumula-tions ; but as it is not only severe, but liable to be followed by violent inflamma-tion, sometimes seriously implicating a neighboring joint, it ought, in my judg-ment, to be abandoned. 4. Intermixed with the fluid above described, or occurring by themselves, there CHAP. II. APONEUROSES. 605 are occasionally loose concretions, of a dense fibrous, fibro-cartilaginous, or car-tilaginous consistence, which, from the peculiarity of theirappearance, and the trouble-some symptoms they occasion, have always been a source ofinterest with practitioners.They are generally of a lightyellowish color, and of a flatoval form, not unlike smallmelon seeds. Their number issometimes very remarkable, up-wards of fifty having been ex-tracted from a single pouch.The adjoining sketch, fig. 199, aifords a good idea of the ap-pearances of these bodies, asthey are exposed on dissection, and also of the changes which. Fibroid bodies of a synovial burse. the burse has undergone in con- sequence of their presence.When existing in considerablenumbers, a careful examinationwill rarely fail to detect their true character. The symptoms which they occa-sion are such as usually attend chronic bursitis. How are these bodies formed ? Two theories have been advanced upon thesubject. According to one, they consist essentially of plastic matter, originallypoured out in soft amorphous granules or flakes, which, increasing in size anddensity, are gradually moulded into a determined shape by the pressure of thesurrounding parts, as well as by the friction which they exert upon each otheras they are pushed about from place to place in their confined situation. Theother explanation is that they are originally connected to the inner surface ofthe sac, from which they receive temporary support and nourishment; but, finallybecoming detached, i

Parole chiave associate all'immagine

• bookcentury1800
• booksubjectgeneralsurgery
• booksubjectsurgery