440 Diseases of Joints. 



Tlie early history of this case is more like that of acute 

 suppurative osteo-niyelitis, but the later condition is evidently 

 tubercular, although complicated by sepsis. G. C. 3239, 



7. 35. Tubercular Synovitis, involving" the Cartilagre and 



Bone. — Articular ends of the femur and tibia — in spirit^from 

 ■which the previous cast was taken. 



The specimen shows the granulations — now shrivelled and 

 blanched — covering the greater part of the articular surfaces ; 

 also pockets in the synovial membrane of the femur, containing 

 tubercular granulations, and extending upwards towards the 

 thigh. The section has been carried through the necrosed 

 fragments of the inner condyle, and through the inner head of 

 the tibia. There is no evidence of former disease in the head 

 of the tibia. G. C. 3240. 



Presented hj A. G. Miller, F.R.C.S.E. 



7. 36. Tubercular Synovitis, involving the Cartilage and 



Bone. — Portions of the inner condyle and head of the tibia of 

 the previous specimen — sawn off and macerated. 



The saw has been carried through the smooth, bare bone on 

 the inner condyle of the femur. The underlying interior of the 

 bone shows little or no change. 



In the tibia the section has passed through the part 

 formerly affected, but, as in the non-macerated part, there is no 

 sign of previous disease. G. C. 3341. 



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



7. 37. Tubercular Synovitis of the Knee, with Patch of 

 Necrosis on the Inner Condyle. — Lower end of a left femur 

 — in spirit — section sawn out, to illustrate the above. 



Mrs L., aged 41, was admitted to the Royal Infirmary, Edinburgh, 



