A case of non-alcoholic cirrhosis of the liver ; Repair after rupture of the spleen and kidney ; The varying effects of violence in producing fractures ; Knee-joints seventeen months after Ogston's operation (card specimen) ; True adenoma of the breast (card specimen).

Power, D'Arcy, 1855-1941.

Date:: [1890]

Credit: A case of non-alcoholic cirrhosis of the liver ; Repair after rupture of the spleen and kidney ; The varying effects of violence in producing fractures ; Knee-joints seventeen months after Ogston's operation (card specimen) ; True adenoma of the breast (card specimen). 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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$facet. The conclusion, therefore, appears irresistible that the fissure in the condyle was the result of the wedge-like action of the patella, the force being so distributed that the patella itself escaped serious injury. On examination the left patella is seen to present a slight crushing of the cartilage into the cancellous tissue, the damage being confined to the lateral margins of the bone. The point of interest about this case is that although the injury so far as can be ascertained was of precisely the same character in the two legs, yet the results are strikingly dissimilar. In the right knee the patella has sustained a very severe compound comminuted fracture, the force evidently acting from within, and therefore pre- sumably the fracture was produced by the violent impact of the articular surface of the patella against the unyielding condyle of the femur. On the left side, however, the force has been so ap>plied that the patella has acted as a wedge, and has split the condyle against which it was driven, itself receiving little or no damage. April 15 th, 1890, FEINTED BT ADLAKD AND SON, BAKTHOLOMEW CLOSE,$