An essay on the hip disease : submitted, ... to the examination of the Royal College of Surgeons of Edinburgh, ... / by J.S. Combe, ... / [J.S. Combe].

  • Combe, J. S. (James Scarth), 1796-1883.
Date:
1823
Catalogue details

Licence: Public Domain Mark

Credit: An essay on the hip disease : submitted, ... to the examination of the Royal College of Surgeons of Edinburgh, ... / by J.S. Combe, ... / [J.S. Combe]. Source: Wellcome Collection.

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    no disease was suspected to exist, there was mere¬ ly a slight destruction of the cartilage, with a coat¬ ing of coagulable lymph covering the denuded bone. I conceive that too little stress has been laid on this fact, as it is of considerable importance in directing our practice in its earlier stages. Ac¬ cording to the testimony of some authors, how¬ ever, ulceration of the cartilages is by no means an unusual appearance, and is not of so alarming a na¬ ture as Mr Brodie would lead us to believe. Thus Mr Shaw, whose pathological remarks are always valuable, says, that “ when we open the joints, we shall be surprised to find the great number of in- ‘‘ stances in which the cartilages of the heads of ‘‘the bone seem to be eroded. I have so frequent- “ ly seen, in all kinds of subjects, (and even in the “joints of animals,) the appearance which is de^ “ scribed by Mr Brodie as ulceration of the carti- “ lage, that I cannot agree with him in supposing “ that it is the effect of disease. - I rather suspect “ that it is a change which very frequently.occurs “ in the structure of cartilage, without its being “ necessarily followed by any symptoms which , “ would lead us to suspect its having taken place.’'* The erosion described by Mr Brodie seems to be \ ♦^anualofAnatomy,‘p. 174.