The nature and etiology of bone disease in Kashmir ; The conservative surgery of long bones ; Necrosis of the lower jaw.

  • Neve, Ernest Frederic, 1861-
Date:
[1889?]
Catalogue details

Licence: Public Domain Mark

Credit: The nature and etiology of bone disease in Kashmir ; The conservative surgery of long bones ; Necrosis of the lower jaw. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    the left tibia. The first fracture occurred when he was 20 days old. The right humerus, has been twice broken, and the right femur twice, viz., in the upper and lower one-third. Since three years ago when his right femur last broke he has been crippled, union usually occurs in about a fortnight. The boy is intelligent looking and not very strong, cannot walk or stand unaided, and has slight pain when moved, the bones are distinct- ly thin except where they have been broken, where they are apt to je thickened and distorted. For instance, the right clavicle is deformed. The right humerus is thickened. The right femur has two elbows, one, 4 in. below the trochanter, with con- vexity outwards. Another, 3 in. lower down, backwards and inwards, the bone is thickened and nodulated; the left feinu- is carved forwards and thickened at two points. Case 2—K—aet 14 months; the brother of S — At fcur months his right arm was broken, at six months the right femur, at 11 months the left femur and the spine (by a child falling on it). The infant is rather irritable but well nourished. It takes its mother's milk supplemented with goat's. Its head is well developed. The anterior foutanelle open. Right arm tender, thick and bent. Left arm similar. Both femurs are thickened, and in places curved and tender. Simple tumours of bone, with the exception perhaps of enchondroma, are not of frequent occurrence in Kashmir. Malignant tumours are not rare. Sarcoma is certainly the most common of these. During the past year we have met with two cases of osteosarcoma of the femur. In one, the tumour was of immense size, as large as the head of an infant. The patient declined operative interference. In the second, a lad of 19, the femur was enlarged and painful. The swelling being of a doubtful nature it was trephined. The extracted disc of bone was examined microscopically and proved the boy to be suffering from myeloid sarcoma. There also, unfortunately, permission to ampu- tate was refused. One case of myeloid sarcoma, one of epithelioma, and one of malignant epulis, each of the upper jaw, com-