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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    The tumour almost entirely disappeared after llie tapping, but rapidly re-filled; and the patient left the hospital in almost exactly the same condition as on admission. I have seen the patient at intervals of a few weeks to the present time (November 1885). But little alteration has occurred in the swelling, but gradually, under gentle pressure with a flannel bandage, the size has some- what diminished, and the patient has been able to do his work; the pain and tenderness gradually becoming less, and the move- ments of the arm less restricted. Case IV. Synovial Cyst in connection with the Elhoiv-Joint. (For permission to publish this case I am indebted to Mr. Savory, and for the notes to his house-surgeon, Mr. Lawrence.) A man (H. D.), mt. 40, was admitted into St. Bartholomew’s Hospital, November 25, 1884, under the care of Mr. Savory, on account of a swelling in the arm. The swelling is situated on the inner side of the left elbow, about an inch above the internal condyle, being somewhat larger than a pigeon’s egg, fixed to the deeper textures, but, like the skin over it, freely moveable. There is fluctuation. The arm cannot be extended beyond an angle of 120°, and cannot be completely flexed. The swelling was first noticed in the beginning of May last, and increased so rapidly that the patient came to the hospital as an out-patient about a week afterwards. At that time the swelling extended in front from the internal to the external condyle ; full extension being impossible. An angular splint was applied, with lotio plumbi dressing. After about six weeks the arm had so much improved that in July the patient recommenced work ; but about a week before his admission he again suffered from pain and swelling and inability to fully extend the arm. A few days after his admission into the hospital the tumour was punctured with a grooved needle, and about three drachms of thin glairy and curdy, apparently synovial, fluid escaped. A pad and bandage were applied and the arm placed in a sling. As a result of the treatment the swelling almost disappeared ; but in a few days it “ re-formed,” though it did not become so large or tense. January 10, 1885.—Another small incision into the tumour was made to-day, when some clear yellow glairy fluid escaped, wilh a small piece of what looked like thickened synovial