The formation of abnormal synovial cysts in connection with the joints / by W. Morrant Baker.

  • Baker, W. Morrant (William Morrant), 1839-1896.
Date:
[1885]
Catalogue details

Licence: Public Domain Mark

Credit: The formation of abnormal synovial cysts in connection with the joints / by W. Morrant Baker. 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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    1 he joint was stiff, but at this time no symptoms of acute disease were present. Some few months afterwards, in December 1884, the 83'mptoinH, both genera,1 and local, became much more serious. There could be no doubt that the shoulder was undergoing a process of acute inflammation and disorganisation ; abscesses were extend- ing from it in various directions, with profuse discharge from sinuses above the clavicle and in front of the shoulder and in the upper arm. The patient’s health was much broken ; he had a red, glazed, and aphthous tongue, and a hectic temperature, and was fast losing flesh and strength. 1 pei foi med amputation at the shoulder-joint in December 1884; the patient afterwards making a rapid and complete recovery. The specimen, which was kindly dissected for me by Mr. D Arcy Power, curator of the Museum at St. Bartholomew’s Hospital, is figured in the 36th volume of the Path. Soc. Trans., pla.te xii., p. 336. It shows the effects of acute inflammation of the head of the humerus, with ulceration and destruction of the cartilage. In connection with it are the remains of a cyst, which was probably in connection with the bursa beneath the subscapularis muscle. Case III. Synovial Cyst in connection with the Elbow-Joint. A post-office porter (W. H.), cet. 32, was admitted into St. Bartholomew’s Hospital, under my care, in August 18S4, 011 ac- count of a swelling in the neighbourhood of the left elbow-joint. The swelling, which had an oval outline, was about the size of a hen’s egg, and was situated immediately above the internal condyle. The skin over it was quite normal, and was not adherent to the tumour. There was slight fulness on each side of the triceps tendon, just above the olecranon, as if from the presence of fluid in the elbow-joint. The movements at the elbow-joint were pain- less, but the forearm could not he quite completely flexed or ex- tended. The swelling was not tender, but a little pain was pro- duced by free movements at the joint. The swelling was first noticed two years and a half ago, when it was about the size of a small nut. It grew slowly, but for the last three or four weeks has rather rapidly increased. A few days after the patient’s admission into the hospital, the swelling was tapped, when some brownish viscid synovial fluid containing granular matter escaped.