Hip disease in childhood : with special reference to its treatment by excision / by G. A. Wright.

  • Wright, G. A. (George Arthur), 1851-
Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: Hip disease in childhood : with special reference to its treatment by excision / by G. A. Wright. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    Section through the upper end of a healthy femur of a boy age 8 years. The position and extent of the two epiphyses are seen; also the thinness of the compact bone at upper part of the under surface of the shaft, the projection of which has given it the name of the calcar femoris. The section has not traversed the ligamentum teres, hence its insertion into the bone is not seen. The difference of texture between this healthy bone and that seen in subsequent figures, as well as the relation of the articu- lar cartilage to the epiphysis and diaphysis and the angle of the neck, are points worthy of note. Surface view of the head of a femur, showing the effects of subchondral ulceration. Patches of thinned and depressed cartilage simulating superficial ulcers are seen. In places the cartilage is perforated. The synovial membrane is somewhat thickened. From the same specimen as Fig. 33. The disease spread from the shaft to the joint. Fig. 3. Fig. 4. Upper end of femur bisected and the halves turned apart. Shows epiphysitis and exten- sion of mischief below the epiphysial line. There is partial destruction of the epiphysis, and necrosis of cartilage. The periosteum, on the under surface of the neck (seen on the left side of the figure), is stripping off. Annie W., case 20. The acetabulum was bare. Section showing the whole epiphysis carious; part of it is gone; the articular cartilage is nearly all destroyed, but the marginal part is left intact. The trochanter was peeled off in this case; its position would be on the right of the figure. Shaft healthy. Emma T., case 7. Fig. The section shows osteomyelitis of the whole epiphysis, and thinning and loosening of the articular cartilage by subchondral caries. The trochanter is seen on the left of the figure. Alfred D., case 1. Surfact view. A mass of granulations is seen covering the carious remains of the epi- physis. Portions of the marginal cartilage are still left. William M., case 36. Ace- tabulum necrosed and perforated.