The patient complains of increasing disability of the limb, movements of the joint becoming more and more restricted and painful.  There is swelling corresponding to the distended capsule of the joint, and on palpation the bodies moving under the fingers yield a sensation as of grains of rice shifting in a bag.  If the bodies are so numerous as to be tightly packed together, the impression is that of a plastic mass having the shape of the synovial sac.  The stiffness and the cracking on movement may suggest arthritis deformans, but the X-ray appearances make the diagnosis an easy one.  We have observed two cases of this affection in the knee-joint of adult women, one in the shoulder-joint of an adult male (Fig. 168), and Caird has observed one in the hip.  The treatment consists in opening the joint by free incision and removing the bodies.

Displacement of the menisci of the knee is referred to with injuries of that joint.

INDEX

  Abdominal aneurysm, 313
    aorta, compression of, 269
      embolus of, 93

  Abscess, 46
    acute circumscribed, 46
    of bone, 448
    Brodie’s, 448
    chronic, 139
    cold, 139
    embolic, 66
    formation of, 47
    Hilton’s method of opening, 50
    pointing of, 48
    pyaemic, 287
    residual, 141
    of skin, multiple, 382
    stitch, 51
    treatment of, 49
    tuberculous, 139, 141
      peri-articular, 514, 517

  Achillo-bursitis, 432

  Achillo-dynia, 422

  Acidosis, 251

  Acromion bursa, 429

  Actinomycosis, 126

  Active hyperaemia, 39

  Acupuncture in aneurysm, 308

  Acute arthritis of infants, 440
    necrosis of bone, 439

  Adductor longus muscle, rupture of, 408

  Adenoma, 202
    malignant, 209
    sebaceous, 393
    of skin, 393
    varieties of, 202

  Adiposus dolorosa, 186

  Aerobes, 19

  Air embolism, 265
    hunger, 276

  Albumosuria, 195, 474, 492

  Aleppo boil, 129

  Alexins, 22

  Ambrine, 13, 238

  Amputation neuroma, 344

  Anaerobes, 19

  Anaesthesia, after nerve injuries, 347

  Analgesia, 347

  Anaphylaxis, 23

  Anatomical tubercle, 134

  Anatomy. See Surgical Anatomy

  Anel’s operation for aneurysm, 307

  Aneurysm, 300. See also Individual Arteries
    abdominal, 313
    acupuncture in, 308
    amputation in, 310
    by anastomosis, 298
    Anel’s operation for, 307, 310
    arterio-venous, 263
    axillary, 318
    of bone, 498
    brachial, 318
    Brasdor’s operation for, 308
    cirsoid, 299
    Colt’s method of wiring