604 The Limbs as a Whole. 



11. 99. Stump of a Syme's Amputation, affected by 



Tuberculosis. — Section of the tibia and soft parts of a left 

 leg — injected with carmine, and in spirit, illustrating the above. 

 The foot was amputated for tubercular disease of the ankle-joint. 

 A re-amputation became necessary on account of return of the disease in 

 the bone and soft parts. 



In the heel flap is seen a large abscess cavity, lined by 



granulations. In the interior of the tibia a condition of 



chronic tubercular osteo-myelitis tending to caseation is seen 



to have spread upwards from the sawn surface. 



G. C. 2872. 



Presented by P. H. MacLaren, F.R.C.S.E., 1888. 



Illustrations of the forms of Stumps. 



11. 100. stump of an Amputation at the Shoulder-joint.— 



Plaster of Paris cast of a healed stump after amputation at the 

 shoulder-joint, showing the cicatrix at the side of the chest. 



G. C. 3520. 



11. 101. Stump of an Amputation at the Shoulder-joint. — 



Plaster of Paris cast of a healed stump, after amputation at the 

 shoulder-joint, showing the cicatrix at the side of the chest. 



G. C. 3521. 



11. 102. Stump of an Amputation through the First 

 Phalanx of the Finger. — Gelatine and glycerine cast of a 

 right hand — illustrating the above. 



The patient was an old woman, whose third finger had been ampu- 

 tated through the first joint in earl}' life. 



The cast was taken in the extended position to show that 

 the stump of the first phalanx extended equally with the other 

 fingers. G. C. 2898. 



Presented by CiiAiiLEs W. Cathcart, F.R.C.S.E., 1888. 



