Bone affected hj Neighhouring Congestion. 227 



ciated with Chronic Ulcer of the Leg.— Lower three- 

 fourths of a left tibia and fibula — macerated, to show the above. 

 The patient, a middle-aged man, had suffered from ulcer of tlie leg 

 for many years. Owing to the intractable character of the ulcer, the leg 

 was amputated by Mi- John Duncan. 



The development of bone here also takes the form chiefly 

 of irregular processes, following the inter-muscular septa. On 

 the tibia there is, however, a considerable development on that 

 part which lay beneath the nicer, especially upon the front and 

 on the outer surface, while smaller irregular patches can be seen 

 at other places, even down to the inner malleolus. On the 

 fibula the bony outgrowths are more prominent, the greater 

 part, however, being toward the lower end of the bone. As in 

 the previous case, the bony outgrowths are by no means limited 

 to the part which lay immediately beneath the ulcer. 



G. C. 3186. 

 Presented by John Duncan, F.R.C.S.E. 



6. 64. Chronic Ulcer of the Leg", which caused the Bony 

 Outg"rowths in the foregroing" Specimen. — Cast— in glue 



and glycerine — after amputation of the leg from which the 

 previous specimen was obtained. 



The cast shows an unhealthy ulcer of the callous type, 

 which had considerable induration and fibrous matting round it. 

 The position of the ulcer should be compared with the out- 

 growths on the previous specimen. G. C. 3185. 

 Presented by Charles W. Cathcart, F.R.C.S.E. 



6. 65. Bony Outgrowths on the Fibula, associated with 



Chronic Ulcer of the Leg. — Portion of a right fibula — 

 macerated, to show the above. 



Mrs H., aged 59 years, was admitted to Ward 17, Royal Intirniary, 

 Edinburgh, on 19th February 1890. Twenty-six years before, while she 

 was walking in snow, three weeks after the birth of her first child, her 

 right leg suddenly became greatly swollen, the first sensation being a 



