Death of the Bones. Necrosis.
This is like mortification of the soft parts. It occurs from injuries and inflammation of the periosteum.
It is known by dull, deep seated sometimes acute pain; and is followed by increase of size, from the formation of new bone around the old, the old being gradually broken into pieces, and discharged through external openings.
As blood poison may often result from absorption of dead bone tissue that has not had a proper outlet, it is usually the best treatment to make an incision over a swelling in bone troubles, should pus be suspected. If made under the antiseptic conditions already advised, the improvement will be noticed when the pus escapes, and the local condition, which is severe enough looked at from any direction, will remain as it is and not go into a general body infection which may cause death or lead to amputation at a much higher level than would have been the case.
Treatment. Poultices and quieting fomentations. Resort will generally be made to surgery.
The greater the amount of bone involved the larger amount will have to be removed, and as no healing may be expected, as long as any infective material remains, all bone that is in any way diseased must be scraped or even chiseled away. Nature is very kind in restoring bone and if only the outside shell of the large bones, like the tibia or shaft of the lower leg, remains, it will fill in by granulation and make a sound bone.
Unnatural Growth of Bones. Exostosis.
THIS disease consists either of a tumor of a bony nature, growing upon and arising from a bone, or an enlargement of a bone. It springs from the periosteum, or from the surface of a bone, or from its spongy texture. The enlargement or the tumor may be white and hard, like ivory, or dark colored and spongy, or a mixture of the two.
At first, a tumor of this kind is not attended with pain or inconvenience. It comes on slowly, and sometimes remains nearly stationary for several years.
Treatment. If the tumor be large and inconvenient, remove it with the knife. If not, use local pressure with pads and bandages.
Diseases of the joints.
Some, of these diseases begin in the cartilages, some in the synovial membrane, and others in the heads of the bones.
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