palm and lingers swollen with oedema; and the front of the
joint is studded with fistulte: one solitary fistulous opening
appears in the centre of the palm. The bones of the carpus,
deprived of their synovial membranes and ligaments, are loose
and disjointed ; and, to use the words of the donor, they felt
during life like a bag of marbles. Amputation was performed
by—Prof. Todd.
E. b. 981. Another preparation of the same nature, and
exhibiting the same kind of deformity in the left wrist of a
female. Upwards of a dozen fistulous apertures exist on all
sides of the joint, and a prolongation of the disease along the
flexor tendons of the middle finger is shown to have taken
place : bristles point out the most diseased parts. Amputation,
above the wrist, saved the patient’s life.—Prof. Kirby-.
E. b. 982. A section of the right wrist of a female, in which
a disease of the carpal joints, analogous to that which engaged
the preceding, demanded amputation. Perfect recovery of
health followed.—Prof. Wilmot.
E. b. 983. Scrofulous inflammation of the left wrist in a
young person, attended with caries and loosening of the bones
of the carpus. The soft parts have been removed to show the
articulations, but the deformity appears to have been the
same as in all the foregoing instances.—Prof. Kirby.
E. b. 984. A dissected, dry preparation of scrofulous caries
of the wrist, in which the destruction of the soft articular textures,
and the alterations in the denuded and loosened bones,
are well exhibited.—School of College.
E. b. 985. Chronic dilatation and enlargement of the synovial
membranes and capsules of the wrist-joint of an old washerwoman.
The bones had been all displaced and separated by
the interposition of an enormous quantity of synovial fluid.
The hand had become relaxed and useless. The interposed
fluid could be pushed from joint to joint; and the wrist
was disfigured and swollen. A very small puncture was
made, with a view of relieving, temporally, the distension.
Intensely acute inflammation of the entire synovial surface,
thus exposed, was the consequence: mortification of all the
textures about the wrist, with profuse suppuration and low
fever, followed; and the old woman sunk, exhausted. The
preparation shows abscesses in all directions—down the fingers
and' up the fore-arm as far as the elbow; sloughing of tendons
and other structures; and caries of the bones entering into
the conformation of the wrist.—Prof. Harrison.
E. b. 986. Scrofulous disease of the‘carpus, metacarpus,
and extremity of the radius. The bones are remarkably soft,
light, and porous. The natural shape of each is considerably
altered by loss of substance in some parts, and deposits of
new osseous matter in others ; the latter, wherever it exists,
has a peculiar spiculated disposition: some of the bones are
increased in size, others much diminished : the cartilages have
for the most part disappeared. The synovial membrane of
the smaller joints had been completely destroyed; that of the
radio-carpal articulation was hypertrophied, soft and pulpy.
The ligaments were not recognizable, and the bones lay almost
loose in a quantity of purulent matter, with which a fistulous
orifice on the front of the wrist communicated. The
skin, cellular tissue, and sheaths of the tendons were infiltrated
with a thin, gelatinous fluid. The median and ulnar
nerves were remarkably enlarged. Removed with success,
by—Prof. Porter.
E. b. 987. A cast exhibiting the deformity of the hand and
lower part of the fore-arm in the preceding case. The swelling
is very considerable, and is most obvious on the palmar
surface, which is so completely filled up as to present a convexity
instead of the usual concavity. The joint is in the extended
position.
E. b. 988. Oast of a dislocation of the lower extremity
of the ulna, forwards; there is, in addition, a fracture of the
radius,