132 Injuries of Bone. 



and at the end of the usual time had united. Shortly afterwards a tumour 

 arose in the centre of the thigh, and increased rapidly, with much pain. 

 The thigh was amputated at the level of the small trochanter, but the 

 patientdied. (See case of Phineas, Bell's "Surgical Observations," p. 376.) 

 The specimen shows that the union between the broken 

 ends has been complete, although the bones have overlapped. 

 The masses of greyish tumour substance are seen invading the 

 texture of the bone on both its inner and outer aspects. 



B. C. I. 1. M. 33. a. 



FEACTURES INVOLYIXG THE KNEE-JOINT. 



3. 244. Double Fracture of the Condyles— Lower ends of 



the right and left femur of a young man — macerated, showing 

 the above. 



The patient threw himself over a window four storeys high, in con- 

 sequence of a melancholy state of mind There was concussion, with 

 effusion of blood on the brain, and abscess of the liver, which had burst 

 into the thorax through the diaphragm. He lived only two hours after 

 the fall. 



On the left side the outer condyle has been split into two 

 pieces. On the right side the condjdes and the bone in their 

 immediate neighbourhood have been severely comminuted. 



G. C. 1738. 



Presented by Professor J. W. Turner and A. Watsox, Esq. 



3. 245. Splitting" of the Condyles, with Fracture of the 



Shaft. — Portions of the lower end of a left femur — macerated, 

 showing the above. 



The patient, a young French sailor, fell on the deck from the 

 mast-head of a ship in Leith Roads, and sustained, besides this comminuted 

 and compound fracture of the left femur, a simple fracture of the right 

 femur, as well as a fracture of the lower jaw, and one of the base of the 

 skull. He lived for twenty-four hours after the injury. 



The vertical split has separated the condyles as nearly as 

 possible in the mesial plane. The transverse break has been 



