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Image from page 1076 of "A system of surgery" (1895)

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Identifier: systemofsurgery01trev
Title: A system of surgery
Year: 1895 (1890s)
Authors: Treves, Frederick, Sir, 1853-1923
Subjects: Surgical Procedures, Operative Surgery
Publisher: Philadelphia : Lea Brothers
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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Text Appearing Before Image:
unlessthere be irritant products in thesynovial fluid which is evacuated,but of this there is no evidenceat present in ordinary subacutesynovitis following injury or cold. In many cases great benefit isderived from massage regularlyapplied. Fluid is by this meansremoved, and the stiffness of thejoint overcome. Patients havinghad subacute attacks of synovitis should be careful in all cases to wear over the joint, for some weeksor months after all swelling has disappeared, a covering of elasticwebbing, and should guard the part against overstrain or exposureto cold or wet, which is very likely to bring on the troubleagain. 3. Simple chronic synovitis.—This form differs but littlefrom the subacute, except in degree. The same effects are pro-duced by similar causes. But, owing to some peculiarity in thepatient, usually a defective vitality, the effects last longer, andas a consequence are somewhat modified. Again, want of restmay convert a subacute into a chronic case. Thus, though the

Text Appearing After Image:
Fig. 430.—Pendulous Folds of SynovialMembrane, due to chronic Inflamma-tion. (University College Museum.) 1038 DISEASES OF JOINTS. hyperemia and the fluid accumulation differ in few respects fromwhat is observed in the subacute form of the disease, the per-sistence of the congestion of the synovial membrane for longperiods leads to its plastic thickening. It thus becomes altered inconsistence, being voluminous and often irregularly hypertrophiedin all its parts. When its borders are particularly affected,pendulous masses or folds are often formed within it, which hangloose about the sides of the joint (Fig. 430). These may give rise toconsiderable modification of the movements of the articulation, andmay cause a sense of weakness in the latter, or, if the pedicle of sucha pendulous mass be torn through during movement, a loose body isproduced, with many serious consequences. The ligamentousstructures of the joint are often affected at the same time in variousways, to be alluded to p

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Date: 2014-07-30 02:30:05

bookid:systemofsurgery01trev bookyear:1895 bookdecade:1890 bookcentury:1800 bookauthor:Treves__Frederick__Sir__1853_1923 booksubject:Surgical_Procedures__Operative booksubject:Surgery bookpublisher:Philadelphia___Lea_Brothers bookcontributor:Francis_A__Countway_Library_of_Medicine booksponsor:Open_Knowledge_Commons_and_Harvard_Medical_School bookleafnumber:1076 bookcollection:medicalheritagelibrary bookcollection:francisacountwaylibrary bookcollection:americana

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