482 Diseases of Joints. 



The ends of the bones are becoming smoothed off, and 

 there has been some adhesion between the triceps and the 

 upper end of the ulna. G. C. 3084. 



Presented by P. H. MacLaeen, F.K.C.S.E. 



WKIST-JOINT. 



a. Changes primarily or chiefly in the synovial membrane. 



7. 146. Tubercular Disease of the Wrist.— Left hand- 

 injected, and in spirit, with the wrist exposed from the back, 

 to illustrate the above. 



"The bones of the wrist are here diseased owing to a puncture at 

 the wrist-joint ; the scrofulous action, however, was general in the whole 

 hand, however especially produced." 



The synovial membrane has been dissected away, and the 

 changes in the articular surfaces are as yet scarcely perceptible, 



B. C. II. M. 56. 



7. 147. Tubercular Disease of the Wrist.— Cast in papier 



mache of the back of the right hand of a young woman, 

 showing swelling of the wrist. 



The wrist was afterwards excised for tubercular disease in the 

 synovial membrane and bone. 



There is the usual swelling most marked over the carpus, 

 and gradually fading off above and below. G. C. 3476. 



Presented by Alexander Miles, F.R.C.S.E. 



b. Changes primarily or chiefly in the bone. 



7. 148. Tubercular and Septic Disease of the Wrist, 



involving* the Radius. — Right radius of an adult — mace- 

 rated, and showing changes in its lower end. 



The lower end is somewhat enlarged. The posterior 

 margin and part of the adjacent articular surface, however, is 

 wanting. Probably a tubercular case complicated by sepsis. 



B. C. II. M. 60. 



