Medico-Chirurgical Transactions 60

Cover Medico-Chirurgical Transactions 60
Medico-Chirurgical Transactions 60
Royal Medical And Chirurgical Society of London
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These characters are admirably shown in a specimen of necrosed femur from the Museum of St. Bartholomew's Hospital.^ I have chosen it as an illustrative example, in preference to the recent specimen just described, on account of its greater age and, therefore, more marked characters ; but the disease is the same in both (Plate X, fig. 2)^ Perforated at various points by large cloacss, it is plain that extensive suppuration must have occurred in connec- tion with the necrosis; and, indeed, at fi
...rst sight, the specimen seems a typical example of the ordinary cases of acute necrosis of the whole shaft of a bone. On further examination, however, it is evident that the specimen is one of necrosis, occurring in the course of chronic ostitis.
The sequestrum is that of a bone which, before death, had undergone some of the structural changes characteristic of chronic inflammation. Its section is dense and almost ivory-like, while its outer and, to a less extent, its inner surfiftce is rugged from irregular absorption and deposition of bone.


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