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The further progress is complicated by the occurrence of pyogenic infection leading to necrosis of bone, in the knee-joint, for example, the patella or one of the condyles of the femur or tibia, may furnish a sequestrum. In such cases, anti-syphilitic treatment must be supplemented by operation for the removal of the diseased tissues.
Of course he was unable to walk, but was taken to a house near by. With some assistance from a brother physician the patella was brought down to its place, but it would not remain. I suggested the use of a gutta percha mould or covering for the knee.
They arise from the lateral aspects of the femur, just above the condyles and are inserted to the corresponding surfaces of the patella. The patellar ligaments are three strong bands which arise from the antero-inferior surface of the patella, and are inserted to the anterior aspect of the tuberosity of the tibia.
On the surface and in the upper parts of this earthy mass, there were numerous shells of Mytilus Magellanicus and M. edulis, Patella deaurita, and fragments of other species. This plain is tolerably level, but not extensive; it forms a promontory seven or eight miles long, and three or four wide. M. Shells on surface. 463 Ba. M. Terrace 2. 710 An. M. Terrace 3. 840 An.
Markoe observed a patient of seventy-two, who ruptured both the quadriceps tendons of each patella by slipping on a piece of ice, one tendon first giving way, and followed almost immediately by the other. There was the usual depression immediately above the upper margin of the patella, and the other distinctive signs of the accident.
The injured limb is rendered useless for progression, as it suddenly gives way whenever the knee is flexed. Treatment is conducted on the same lines as in transverse fracture of the patella; in the majority of cases the continuity of the quadriceps should be re-established by suture within five or six days of the accident. The limb should be put up with the knee flexed and the toes pointed.
This, the most common luxation met with in the equine subject, has been described by writers as existing in many forms. Patellar disarticulation may be more practically considered as momentary and fixed, regardless of the position taken by the patella.
It should be borne in mind in connection with medico-legal inquiries, that wounds of soft parts that closely overlie a bone, such as the skull, the tibia, or the patella, although, inflicted by a blunt instrument, may have all the appearances of incised wounds. Clinical Features. One of the characteristic features of an incised wound is its tendency to gape.
This was a pretty doll, with wide blue eyes, and a wealth of golden tow, and an expression of aristocratic innocence on its waxen cheek, faintly flushed with paint, and I bore it home with pride. But when I came to examine it, I found it was but a sawdust abomination. Oh the modelling of the arm, oh the anatomy of the leg, oh the patella proximate to the ankle!
The patella, a short bone, has already been mentioned as articulating with the thigh bone. The tibia and fibula are the other two bones in the region. THE TIBIA belongs to the class of long bones and the fibula is quite rudimentary, being represented by a stylet-shaped bone that lies posterior to, and along the outer border of the tibia.
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