228 Diseases of Bone, 



prickly feeling in the thigh. She continued to go about, and several 

 small but deep and painful sores appeared on her leg. These have since 

 repeatedly healed and broken down. 



When she was admitted there was a large ulcer on the outer side of the 

 right leg, a little above the ankle-joint, "edges whitish, indurated, and 

 everted." There was inflammation round the ulcer, also numerous cica- 

 trices over the leg and a few varicose veins. There was intense pain, 

 especially at night, round the ulcer and in the region of the ankle-joint. 



As the ulcer resisted ordinary treatment, a piece of the fibula, one 

 and a half inches long, was removed from just below the ulcer, to permit 

 of contraction of the skin. The ulcer healed somewhat slowly, even with 

 the assistance of skin grafts (human). 



This piece of bone, like the previous specimen, is greatly 

 thickened, and is irregular on the surface ; so much so, that, 

 were the history unknown, it Avould be impossible to recognise 

 it as part of a human fibula. G. C. 3163. 



Presented by A. G. Millee, F.R.C.S.E, 



6. 66. Alteration in the Bones of the Foot from Chronic 



Ulcer of the Leg". — Tarsus and metatarsus — macerated, to 

 show the above. 



Patient was a man of about 45 years of age, who had suffered from 

 ulceration of the skin of leg and disease of the tibia for many years. 

 His leg was amputated for epithelioma developing in tlie ulcer (see 6.465). 

 The patient had not been aware of anything wrong with his foot, 

 probably owing to the great trouble connected with the ulcer of the leg. 



The bones of the foot were ancbylosed by fibrous tissue. 

 The articular surfaces are very irregular, and there are bony 

 outgrowths on the surfaces of the astragalus and os calcis, and 

 also to a less extent on the other bones. G, C. 2794. b. 



Presented by J OKU Duncan, F.R.C.S.E. 



2'Ac follounng Ten Speciniens, of which there is no history, can easily 

 be recognised as similar in character to Kos. 6. 61 and 6. 63, of which the 

 histories are known. 



6. 67. Bony Outgrowths on the Tibia and Fibula, associ- 

 ated with Chronic Ulcer of the Leg.— Left tibia and 

 fibula — macerated, to show the above. 



