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Then those three dead pieces shall be put in an equilateral trigone somewhere in the great temple at Paris in the middle of the porch, if you will there to perform the office of extinguishers, and with their noses put out the lighted candles, torches, tapers, and flambeaux; since, while they lived, they still lighted, ballock-like, the fire of faction, division, ballock sects, and wrangling among those idle bearded boys, the students.
Couper reports a fatal case of stab-wound of the buttocks, in which the knife passed through the lesser sacrosciatic notch and entered the bladder close to the trigone. The patient was a man of twenty-three, a seaman, and in a quarrel had been stabbed in the buttocks with a long sailor's knife, with resultant symptoms of peritonitis which proved fatal.
At the autopsy it was found that the knife had passed through the gluteal muscles and divided part of the great sacrosciatic ligament. It then passed through the small sacrosciatic notch, completely dividing the pudic artery and nerve, and one vein, each end being closed by a clot. The knife entered the bladder close to the trigone, making an opening large enough to admit the index finger.
Displacement or partial extrusion of the dead bone may cause complications, as when a sequestrum derived from the trigone of the femur perforates the popliteal artery or the cavity of the knee-joint, or a sequestrum of the pelvis perforates the wall of the urinary bladder.
The limb having been rendered bloodless, existing sinuses are enlarged, but if these are inconveniently situated for example, in the centre of the popliteal space in necrosis of the femoral trigone it is better to make a fresh wound down to the bone on that aspect of the limb which affords best access, and which entails the least injury of the soft parts.
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