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In fibrous as contrasted with osseous ankylosis mobility may be elicited, although only to a limited extent; while in osseous ankylosis the joint is rigidly fixed, and attempts to move it are painless. [Illustration: FIG.

Fibrous ankylosis may follow upon injury, especially dislocation or fracture implicating a joint, or it may result from any form of arthritis. It is often found between the patella and the trochlear surface of the femur in tuberculous disease of the knee.

The synovial membrane proliferates, grows over the cartilage, and replaces it, and when two such articular surfaces are in contact they tend to adhere, thus obliterating the joint, cavity, and resulting in fibrous or bony ankylosis. Clinical Features.

The Religion of Culture has a flavor of thyme and mignonette, and a gleam of old silver plate handed down as heirlooms. It means leisure, books on the shelf, well-filled woodsheds, and cellars stocked with vegetables. It is leisurely, kindly, intelligent, gentle beautiful. The Religion of Culture is exclusive, and slips easily into social caste, which is spiritual and mental ankylosis.

The system was bound to end in ankylosis, in the paralysis of painting, and this, in fact, was the result. At about the same time with these Religious an unknown artist, living in the country, and never exhibiting in Paris, was painting pictures for churches and convents, working for the glory of God and refusing all remuneration from priests or monks.

In aggravated cases the tips of the fingers disappear from progressive ulceration, and in the sole of the foot a perforating ulcer may develop. Arthropathies are occasionally met with, the joints becoming the seat of a painless effusion or hydrops, which is followed by fibrous thickening of the capsular and other ligaments, and terminates in stiffness and fibrous ankylosis.

Frost offers the following suggestion in such instances: The treatment recommended by us for open joints, in which we wish to prevent ankylosis, is, first, to shave all hair from the area surrounding the wound, following with a thorough cleansing of the skin and disinfection of the wound, and then to inject a twenty per cent Lugol's solution in glycerin into the wound.

There is no chance for complete recovery in the usual case of carpal fracture because of the fact that there results sufficient arthritis to destroy articular cartilage beyond repair. In the average instance, because of arthritis which persists for a considerable length of time, more or less ankylosis results.

Caries of the articular surface imparts a woolly appearance or irregular contour in place of the well-defined outline of the articular end of the bone. In bony ankylosis the shadow of the two bones is a continuous one, the joint interval having been filled up. The minor changes are best appreciated on comparison with the normal joint of the other limb.

It is a revolution that has come a thousand times, and must and will come again and again. When custom gets greater than man it must be broken. The ankylosis of artistic smugness is no new thing. In heart and taste and ambition Ary and the Little Mother were one. Madame Scheffer rejoiced in the revolt she saw in the air against the old and outgrown.