236 Diseases of Bone. 



abscess was discharged at that point where the cicatrix now remains, and 

 about a pint of pus escaped. From this opening matter continued to 

 flow in large quantities, till Monday last, when it had healed. His state 

 of health had been gradually getting worse. 



" The knee, especiall}' on its anterior part, is much swollen, and its 

 surface somewhat red and exquisitely painful. The patella is anchylosed. 

 In the cavity of the joint there is a collection of fluid, aff"ording a very 

 distinct sense of fluctuation. The knee is preserved in a semi-bent position, 

 and its motions are altogether lost. At its upper and inner part there is 

 a small cicatrix. The inferior part of the thigh is also swollen, and the 

 foot freqiiently cedematous. Several glands in the right groin are enlarged 

 and painful on pressure. His general health is much impaired. There is 

 much emaciation and debility — pulse 125, small — appetite bad — frequent 

 night sweats — tongue clean — bowels slow. 



" On examination, Dr Hunter found that the femur was enlarged and 

 diseased about three inches below the trochanter major. On 25th inst. 

 he slept some — pulse 132, small — some sweating during night — tongue 

 clean — some thirst. The cicatrix was opened up to-daj^ and about ten 

 ounces of sero-purulent matter was discharged from the course {sic) of 

 the femur. 



' ' After admission the patient showed symptoms of septic poisoning. 

 There was a very extensive discharge, and as he was getting weaker, it 

 was thought better to amputate below the small trochanter, from which 

 he made a good recovery." 



The lower half of the specimen is very irregular, showing 

 small patches of necrosed bone, with depressions and erosions 

 round about them and numerous holes. There is also some 

 deposit of new periosteal bone in the neighbourhood. 



This seems to have been a case of advancing septic inflam- 

 mation in the bone. G. C. 1004. 



Presented by kv)A.^i Hunter, F.R.C.S.E. 



6. 85. Acute Suppurative Inflammation of the Upper 

 End of the Femur, with Rarefaction and Loss of 



Substance. — Upper half of a right femur, probably that of a 

 woman — macerated, showing the above. 



The interior of the head has, in many places, disappeared) 

 and the back and under surfaces of the neck are irregularly 

 and extensively opened out and absorbed, some of the bone on 

 the interior seeming to be necrotic. The bone below the small 



