Tubercular Necrosis. 287 



First Metacarpal Bone. — Part of the metacarpal bone of a 

 woman — macerated, illustrating the above. 

 It was removed by operation. 



There is an imperfectly formed new shell, with a hollow 

 interior, from which sequestra have probably been removed. 



G. C. 995. 



6, 222. Tubercular Necrosis and Enlargement of Meta- 

 carpal Bone and First Phalanx.— Part of metacarpal 



bone and phalanges of a finger — periosteum removed, and in 

 spirit. 



There is lateral enlargement of the first phalanx, Avith loss 

 of substance near the base, probably from necrosis. The distal 

 end of the metacarpal bone is enlarged. G. C. 566. 



Presented by Sir George Ballingall. 



6. 223. Tubercular (?) Necrosis and Enlarg-ement of Meta- 

 carpal Bones. — Two metacarpal bones — macerated, illus- 

 trating the above. 



There has been extensive new formation on the surface, 

 with a partial re-absorption of the same. A sequestrum 

 is seen in the interior of the more eroded of the two. Septic 

 mischief has probably complicated this case. 



W. C. G. 11. 



6. 224. Tubercular Disease of Metacarpal Bone.— Plaster 



cast of right hand, with thumb broken off, illustrating the 

 above. 



A large swelling has accompanied tubercular disease of the 

 metacarpal bone of the index finger. On the SAvollen part an 

 ulcer is shown, which, no doubt, communicated with the bone. 



F. P. C. 2887. 



6. 225. Tubercular Necrosis and Enlarg-ement of Meta- 



