i. 93; first indication to promote resolu-
tion. i. 93; the second, its removal by the
knife, i. 94; treatment of gangrene, i. 94;
when connected with active inflammation,
and inflammatory fever, moderate anti-
phlogistic treatment to be employed, i. 94;
if caused by the constriction of unyielding
aponeuroses, they must be divided, i. 94;
when connected with general debility,
tonies and mineral acids indicated, i. 94;
local treatment of gangrene, i. 94; if there
be active inflammation, soothing poultices;
if the part be free from pain and shrivelled,
stimulant applications are required, i.
95; remedies which prevent the influence
of the gangrenous juices, i. 95; their action
aided by scarifications in the gangrenous
parts, i. 95; the latter must not penetrate
into the living parts, i. 95; scarifications
are dangerous in gangrena senilis, i.
95; amputation not applicable in gangrene
depending on an internal cause still in
operation, i. 95; applicable after the line
of demarcation has formed, or in gangrene
from external violence, even while still
proceeding, i. 95; South's opinion that
amputation should never be performed
while the gangrene is in progress, i. 95;
treatment of senile gangrene, i. 96; when
resulting from an injury, soothing or dry
aromatic applications, or leeching if the
inflammation be active, i. 96; Dupuytren
employs the antiphlogistic plan of treat-
ment in plethoric subjects, i. 96; when
from constitutional causes, tonics and
opium are necessary, i. 96; treatment of
gangrene from pressure, i. 96; from the
use of spurred rye, i. 96; Thomson and
S. Cooper's cases, i. 97; treatment of ma-
lignant pustule, i. 97; local treatment by
cutting out the pustule, and cauterizing the
wound, i. 97; if pustule not deep, but the
slough much spread, deep scarifications,
and the application of caustic recom-
mended, i. 97; employment of constitu-
tional treatment, i. 97; treatment of hos-
pital gangrene, i. 97; emetics advised by
Pouteau and Dussausoy, i. 97; washing
the sore with vinegar, or solution of
arsenic at the commencement of the dis-
ease, i. 97; the entire surface to be touched
with nitrate of silver, i. 98; the free ap-
plication of the actual cautery most effec-
tual, i. 98; constitutional treatment should
be employed at the same time, i. 98.
INGLIS, Dr., on the age at which broncho-
cele most usually occurs, ii. 655; objec-
tions to Coindet's mode of exhibiting
iodine, ii. 660.

INGROWING OF THE NAIL, i. 198; causes, i.

198; Wardrop and Dupuytren on in-
growing of the nail, i. 198; Dupuytren
states it has been mistaken for gout, i.
199; Colles on the ingrowing of the nail,

i. 199; Colles on the disease of the nail
liable to be mistaken for gout, i. 199;
treatment in slight cases, i. 199; Desault,
Richerand, and Biessey's plans of treat-
ment, i. 199; Zeis on the introduction of
charpie under the edge of the nail, and
the use of foot-baths, i. 200; Meig's plan of
treatment by a compress and linen-roller,
i. 200; Sir A. Cooper says the applica-
tion of a blister will bring away the nail,
i. 200; this opinion contravened by South,
i. 200; Dupuytren's operation for dividing
and removing the diseased nail, i. 200;
Scoutteten's operation for the destruction
of the matrix of the nail, i. 200; the
operation recommended by Paré, Faye,
Michaelis, Sachs, and Zeis, i. 200; Sir
Astley Cooper's operation, i 200; Colles
and South condemn Cooper's operation, i.
201; Colles' operation, i. 201;
Inguinal rupture and its varieties, ii. 54.
Innominata, ligature of, ii. 245.
Internal strangulation, ii. 94.
INTESTINES, WOUNDS OF, i. 462; symp-
toms, i. 462; Travers, Green, Tyrrell,
and South's cases of wounded intestines,
i. 462; Travers on wounds of the intestines
communicating directly with the surface,
i. 463; varieties of wounds of the intes-
tines, i. 463; Travers on the varieties of
wounds of the intestines, i. 463; difference
of opinion as to the treatment of wounded
and protruded intestine, i. 463; different
kinds of stitches employed, i. 463; Scarpa
and Larrey's practice, i. 464; Denans,
Béclard, Jobert, Lembert, and Reybard's
practice in wounded intestine, i. 464,
465; Shipton and Travers' experi-
ment, i. 465-7; Else, Benjamin Bell,
John Bell, and Hennen on the use of
the suture in wounded intestine, i. 466,
467; objections to the use of stitches in
wounded intestine, i. 467; reasons in
favour of their use, i. 468; Travers on
the objections to returning a wounded in-
testine, without suture, into the abdomen,
i. 468; Travers and Benjamin Bell on
the withdrawal of the suture, after union
has taken place, i. 468; Travers' direc-
tions for stitching a wounded intestine,
i. 468; approval of Lembert's plan, i.
469; Astley Cooper's practice in small
wounds of the intestines, i. 469; Dupuy-
tren's modification of Lembert's plan, i.
469; Travers on the reparation by ar-
tificial connexion of the divided parts of
a wounded intestine, i. 470; treatment of
a perfectly divided intestine, one end only
being found, i. 470; treatment of wounded
intestine, i. 470; treatment of wounded
intestine when the fæces escape by the
wound. i. 471; Travers and South on
the treatment of wounded intestine with-
out fæcular discharge or prolapse, i. 471;

Travers on spontaneous reparation in
wounded intestine, i. 471; contraction of
the intestine sometimes the result of a
wound, i. 471; effusion of fæcal matter,
blood, or other fluid, constitutes the
most dangerous complication of pene-
trating wounds of the abdomen, i. 471;
Travers and Hennen on effusion into
the cavity of the abdomen under such
circumstances, i. 472; extravasation of
the intestinal contents, i. 472; Travers
on the impediments to effusion of the
intestinal contents, i. 472; symptoms of
effusion, i. 473; effusion of blood into the
cavity of the abdomen, i. 473; the ef
fused blood is either collected in a cir-
cumscribed space, or diffused over the
abdomen, i. 473; treatment of extravasa-
tion, i. 473; Hennen's case of musket-
shot wound of the abdomen, the ball
passing afterwards per anum, i. 474; fo-
reign bodies in the intestines, ii. 388.
Introduction:-definition of surgery, i. 1;
division of, i. 3.

IPPOLITO, NUNCIANTE, on ligature of the
vertebral artery, ii. 250.

IRELAND on the use of arsenic in the bites

of the great lance-headed viper of Mar-
tinique, i. 359; operation for prolapsus
uteri, ii. 112.

Ischiatic artery, ligature of, ii. 258.
rupture, ii. 86.

Ischuria, and its varieties, ii. 409.
Issues, making of, ii. 869.

JACOBSON'S lithotritic instrument, advan-
tages and disadvantages of, ii. 560.
JACQUIER'S case of reduction of the conse-
cutive dislocation in hip disease, i. 268.
JAEGER on the mercurial treatment in hip
disease, i. 267; on the general treatment
of coxalgy, i. 267; views on the reduction
of consecutive dislocation in coxalgy, i.
268; on the treatment of abscesses of the
hip, i. 269; recommends free incisions in
opening these abscesses, i. 269; excision
of the carious head of the thigh-bone re-
commended by, i. 270; opinion that the
preparations of fractured spine united by
callus, only show that the fracture may
be cured, but not the palsy, i. 532; on
the operation for trepanning a fractured
spine, i. 538; treatment of fractured cla-
vicle, i. 552; case of imperfect fracture
of the coronoid process of the ulna, i, 562;
on the inlocking of the ends of the bone
in fracture of the neck of the femur, i.
564; objection to dressing the wound
after the operation for rectal fistula, i.
731; on the division of the sphincter
muscle in recto-vesical and recto-urethral
fistula, i. 748; on the treatment of vesico-
vaginal fistula by drawing off the urine,
and by compression, i. 752; on the nature

of strangulation in rupture, ii. 11; on
the seat of exostosis, ii. 673; on the blood
fungus, ii. 722; plan of amputating the
thigh with the flap from the outer side,
ii. 909; on amputation at the hip-joint,
ii. 933; mode of operating by the circular
cut, ii. 934; on the statistics of the ope-
ration for exarticulation of the leg at the
knee, ii. 943; mode of operating in exar-
ticulation of the fore-arm at the elbow, ii.
962; case of excision of part of the hand,
ii. 965; on the excision of joints, ii. 969;
statistics of cases, ii. 970; recommends
the non-division of the ulnar nerve in ex-
cision of the elbow-joint, ii. 975; mode
of operating in excision of the elbow-
joint, ii. 976; in excision of the lower
ends of the radius and ulna, ii. 976; in
excision of the knee-joint, ii. 981; on the
mode of union after the operation, ii.
982; mode of operating in excision of the
ancle-joint, ii. 983; on excision of the
lower jaw with the condyles, ii. 989; on
the previous ligature of the carotid
artery, ii. 990.

JAMES' case of dislocation of the astragalus
outwards, i. 810; case of ligature of the
aorta, ii. 254; case of tearing away the
upper arm and scapula by machinery, ii.
1003.

JAMESON'S plan of inhealing a plug of skin
for the radical cure of rupture, ii. 24; in-
strument for œsophageal stricture, ii. 323;
treatment of stricture of the urethra, ii. 372.
JAMIESON'S case of accidental cerebral rup-
ture, ii. 100.

JANSON'S case of resection of the scapula, ii.
1002.

Jaw, lower, fracture of, i. 528; dislocation
of, i. 770; excision of, ii. 986; cases re-
quiring the operation, ii. 986; circum-
stances admitting a favourable result, ii.
986; priority of claim as originator of
the operation, ii. 986; Tyrrell's case of
necrosis of the lower jaw, ii. 986; exci-
sion of the middle of the lower jaw, ii. 987;
mode of operating, ii. 987; retraction of
the tongue, ii. 987; Dupuytren, Graefe,
and Astley Cooper's cases, ii. 987; re-
moving a portion of the side of the lower
jaw without the condyle, ii. 988; mode of
operating, ii. 988; Deadrick, Mott, and
Wardrop's cases, ii. 988; excision of the
lower jaw with its condyles, ii. 989; Mott,
Schindler, von Graefe, Syme, Jaeger, and
Cusack's modes of operating, ii. 989;
Mott, von Graefe, Dzondi, Jaeger, and
Schindler on the previous ligature of the
carotid artery, ii. 990; White's case of
excision of the lower jaw, ii. 991; Graefe
and Mott's cases of exarticulation of one
side of the lower jaw, ii. 992; Cusack on
the non-necessity of tying the carotid
artery prior to the operation, ii. 993;

Cusack's cases of exarticulation of the
lower jaw, ii. 993; Listou's mode of ope-
rating, ii. 993; Perry's case of necrosis of
the lower jaw, ii. 994.

Jaw, upper, fracture of, i. 527; resection
of, ii. 994; cases in which the opera-
tion is indicated, ii. 994; Dupuytren's
cases of extirpation of the upper jaw
doubted by Gensoul, ii. 994; Akoluthus'
case, ii. 994; Dr. T. White's case of
almost complete extirpation of the upper
jaw, ii. 994; mode of operating, ii. 995;
section of the skin and muscles, ac-
cording to Gensoul and Dieffenbach, ii.
995; Lizars the first to recommend the
entire removal of the upper jaw, ii. 996;
his description of the proposed operation,
ii. 996; Lizars' cases in which he at-
tempted to perform the operation, but
failed on account of the hæmorrhage, ii.
996; Lizars' cases in which he performed
the operation, ii. 996; Gensoul's case of
extirpation of the superior maxillary
bone, ii. 997; cutting away the diseased
jaw, ii. 997; Heyfelder's operation for the
resection of both jaws, ii. 998; Syme,
Liston, and Fergusson's modes of ope-
rating, ii. 968; O'Shaugnessy's case of
removal of the upper jaw, ii. 999; Het-
ling's case of osteosarcoma of the jaws, in
which he removed part of the upper, and
part of the lower jaw, ii. 1000; Liston
on the prospect of ultimate success in this
operation in cases of malignant disease,
ii. 1001; dressing the wound, and after-
treatment, ii. 1001; dangerous symptoms
which may occur after the operation, ii.
1001; recurrence of the disease, ii. 1001.
JEAFFRESON on the extirpation of the ovary,
ii. 487; case of extirpation of the ovary,
ii. 489; on the statistics of the operations
for the extirpation of the ovary, ii. 490.
JENNER'S, Dr., discovery of vaccination, ii.
873.

JEWEL, Dr., on the distinguishing signs be-

tween leucorrhea and gonorrhea, i. 160.
JOACHIM'S artery-compressor, i. 299.
JOBERT'S practice in wounded intestine, i.
464; on the introduction of the seton in
false joints, i. 593; on the treatment of
vesico-vaginal fistula by transplantation,
i. 757; case of ligature of the popliteal in
the internal epichondyloid pit, ii. 265.
JOHNSON'S, Dr., case of obstruction of the
rectum by a large collection of peas, ii.

392.

JOINTS, EXCISION OF, ii. 968; first performed

on the knee-joint, ii. 968; afterwards ex-
tended to the other joints, ii. 968; Filkin,
Vigaroux, David, White, Bent, Orred,
Park, Moreau, Graefe, and Davie's cases,
ii. 968; Sabatier, Percy, Roux, Moreau,
Larrey, Guthrie, Syme, Textor, and
Jaeger on the excision of joints, ii. 969;

Wachter, Vermandois, Kohler, and
Chaussier's experiments, ii. 969; objec-
tions to this operation as compared with
amputation, ii. 969; advantages of the
operation, principally referable to the
joints of the upper extremities, ii. 969;
not so great in operations on the other
joints, ii. 969; statistics of Jaeger, Syme,
and Moreau's cases, ii. 970; Crampton
on the excision of joints, ii. 970; cases in
which excision of the ends of bones is
preferable to amputation, ii. 970; contra-
indications to the operation, ii. 971; mode
of operating, ii. 971; direction and extent
of the incision in the skin, ii. 971; ex-
cision of the diseased bone, ii. 971; ex-
tent of bone required to be removed, ii.
972; instruments for excising the ends of
bones, ii. 972; arrest of the subsequent
hæmorrhage, ii. 972; dressing the wound,
ii. 972; after-treatment, ii. 972; untoward
occurrences during the after-treatment, ii.
973; after-bleeding, ii. 973; abscesses, ii.
973; fistulous passages, ii. 973; necrosis
of rare occurrence after this operation, ii.
973; after-treatinent of the sawn ends of
the bone, ii. 973; excision at the shoulder-
joint, ii. 974; mode of operating in ex-
cision of the head of the humerus, ii. 974;
C. White, Orred, Bent, Sabatier, Moreau,
and Syme's modes of operating, ii. 974;
motions of the arm subsequent to the ope-
ration, ii. 974; excision of the elbow-joint,
ii. 975; Moreau's mode of operating, ii.
975; Dupuytren and Syme's modes of
operating, ii. 975; Moreau on the division
of the ulnar nerve in this operation, ii.
975; Dupuytren, Crampton, Jaeger, and
Syme recommend its preservation, ii.
975; Jaeger's mode of operating, ii. 976;
condition of the arm after excision of the
elbow joint, ii. 976; Crampton and Syme's
cases, ii. 976; excision of the wrist joint,
ii. 976; Roux and Jaeger's modes of ope-
rating in excision of the lower ends of
the radius and ulna, ii. 976; dressing the
wound and after-treatment, ii. 977; Du-
bled and Velpeau's operations, ii. 977;
Butt's case of excision of part of the ne-
crosed ulna, ii. 977; excision of the hip-
joint, ii. 977; mode of operating, ii. 977;
by a simple longitudinal cut, ii. 977; by
the formation of a flap, ii. 977; by Tex-
tor's oval cut, ii. 978; dressing the wound,
ii. 978; White, Carmichael, Oppenheim,
Hewson, Seutin, and Textor's cases, ii.
978; C. White on excision of the head of
the femur, ii. 979; A. White and Fer-
gusson's cases of excision of the head of
the femur, ii. 979; excision of the knee-
joint, ii. 981; Moreau, Park, Mülder,
Sanson, Bégin, Jaeger, and Syme's modes
of operating, ii. 981; Jaeger's operation
preferred, ii. 981; Moreau, Park, and

Jaeger on the mode of union after the
operation, ii. 982; Syme on the treatment
after the operation, ii. 982; A. White's
case of compound dislocation of the femur
behind the leg, ii. 982; excision of the
ancle-joint, ii. 983; Moreau, Jaeger,
Mülder, and Kerst's modes of operating,
ii. 983; South on excision of the ancle-
joint, ii. 984; dressing the wound, and
after-treatment, ii. 985; excision of the
joints of the metacarpus and metatarsus,
ii. 985; mode of operating, ii. 985; after-
treatment, ii. 985; Textor, Kramer,
Roux, and Fricke's cases, ii. 985.
JOINTS, INFLAMMATION OF :-inflammation
may be set up as the primary disease in
any part of the joints, such as the liga-
ments, synovial membranes, cartilages,
and spongy ends of the bones, i. 205;
Hunter on inflammation of the joints, i.
206; causes and nature, i. 206. Inflam-
mation of the ligaments, i. 206; Brodie
on the rarity of affections of the liga-
ments independent of other structures, i.
206; Mayo's case of injury to the liga-
ments of the knee, i. 206; Wickham's ob-
servations on inflammation of the liga-
ments, i. 207; symptoms of acute inflam-
mation of, i. 207; South on the absence of
discriminating signs between acute inflam-
mation of the ligaments and rheumatism,
i. 207; symptoms of chronic inflamma-
tion of the ligaments, i. 207; terminations
of the acute and chronic form of inflam-
mation, i. 208; changes of structure in
the joints, i. 208; Key on ulceration in
ligamentous fibre, i. 208; South on relaxa-
tion of the ligaments, i. 209; treatment
of inflammation of, i. 209; treatment of
thickening and swelling of the cellular
tissue, i. 209; of suppuration external to
the joints, i. 209; of suppuration internal
to the joints, i. 209; this latter malady is
Wickham's disease of the cellular mem-
brane of joints, i. 210; Wickham's de-
scription of the disease, i. 210; South's
cases of abscesses external to the joint,
i. 210; South on the position of the limb
during disease of the knee-joint, i. 211;
inflammation of the synovial membrane, i.
211; W. Hunter on the structure of sy-
novial membrane, i. 211; Henle on the
continuity of synovial membrane over the
cartilage of joints, i. 212; Toynbee on the
synovial membrane, i. 212; Clopton Ha-
vers, and Goodsir on the mucilaginous
glands, i. 212; Brodie on the diseases of
the synovial membranes, i. 213; symp-
toms of inflammation of, i. 213; Brodie
on the two varieties of synovial inflamma-
tion, i. 213; Brodie's case of acute syno-
vial inflammation terminating in suppu-
ration and ulceration, i. 214; Wickham's
case of synovial inflammation terminating

in ulceration, i. 214; suppuration of the
synovial membrane, after wound of the
joint, i. 214; Brodie on the subacute or
chronic form of synovial inflammation, i.
215; symptoms and progress of the dis-
ease, i. 215; Lawrence on the diagnosis
of fluctuation in synovial inflammation,
i. 216; Lawrence on hydrarthrus or
hydrops articuli, i. 216; Dr. Watson on
the difference between synovial inflamma-
tion and inflammation of the ligaments, i.
216; Astley Cooper on gonorrheal rheu-
matism and gonorrheal ophthalmia, i. 217;
Cooper's case of gonorrheal rheumatism
and ophthalmia, i. 217; Brodie on gonor-
rheal rheumatism and ophthalmia, i 217;
Brodie and Lawrence on the pulpy dege-
neration of the synovial membrane, i.
217; South on the non-malignancy of this
pulpy degeneration, i. 218; Brodie on its
causes and progress, i. 218; post-mortem
appearances, i. 218; South on the nature
of the respective diseases, as indicated by
the post-mortem appearances, i. 219;
causes of synovial inflammation, i. 219;
prognosis, 219; treatment, i. 219; Bro-
die and South on the local treatment, i.
219; if suppuration ensue, the swelling
should be punctured early, i. 220; treat-
ment to be adopted, after the inflammation
is subdued, there remaining swelling from
effusion of fluid, i. 220; South on the use
of blisters for promoting the absorption
of the effused fluid, i. 220; Brodie on the
use of friction in such cases, i. 220; treat-
ment of the chronic form of inflammation,
i. 221; after the occurrence of suppura-
tion, with destruction of the cartilages and
bones, i. 221; South on irritant applica-
tions in the treatment of the chronic form
of the disease, i. 221; South's case of dis-
ease of the synovial membrane of the
knee-joint, attended with evidence of fluc-
tuation, in which the swelling was punc-
tured without benefit, i. 222: Inflamma-
tion of the cartilages, i. 222; William
Hunter on the structure of cartilage, i.
223; Miescher says "no difference be-
tween permanent cartilage and that which
is to be converted into bone," i. 223; he
differs in opinion with W. Hunter as re-
spects the fibrous structure of articular
cartilage, i. 223; Todd and Bowman con-
sider there is a difference between tem-
porary and articular cartilage, i. 224;
Henle on the fibrous structure of articular
cartilage, i. 224; Henle and Toynbee on
the non-vascularity of cartilage, i. 224,
225; Toynbee on the development of car-
tilage, i. 225; Toynbee on the supply of
nutrient fluid to articular cartilage, i.
225; Toynbee on the vessels by which
the articular cartilages are nourished, i.
226; Toynbee's description of the canals

in adult cartilages, i. 226; Meckel, Bi-
chat, and Müller on the vessels of carti-
lage, i. 226; Brodie's opinion that carti-
lages are vascular, i. 227; Toynbee,
Béclard, and Cruveilhier distinctly of
opinion that cartilages are devoid of vas-
enlarity, i. 227; W. Hunter's views on
the structure of cartilage generally cor-
rect, i. 227; symptoms of inflammation
of cartilage, i. 227; Mayo on three distinct
forms of ulceration of joint-cartilages, i.
228; Wilson on inflammation of cartilage,
i. 228; Hunter, Wilson, and Brodie, on
the ulcerative absorption of, i. 228, 229;
Lawrence on ulceration of cartilage as an
original affection of the joints, i. 229;
Key on the conditions under which ulcera-
tion of the cartilages is effected, i. 229;
Key on the absorption of cartilage by a
new membrane produced by inflammation
of the synovial membrane, i. 229; Key
on the progress of ulceration in cartilage,
i. 230; Goodsir holds with Key that the
deposit from the synovial membrane is the
cause of ulceration in cartilage, i. 231;
accordance of Key's views with those of
Wilson, i. 232; Key on the changes in the
synovial membrane, when suppuration is
the result of a wound in it, i. 232; they
induce ulcerative absorption of the articu-
lar cartilages, i. 232: Brodie does not ac-
cord with Key's views, and considers that
absorption of cartilage may take place
under such circumstances as to admit of
no other agency than that of the vessels
of the cartilage, i. 233; Lawrence's case
of rapid ulceration of cartilage, i. 234;
Lawrence on the necrosis of long bones as
a cause of inflammation and absorption of
cartilage, i. 234; Key on the formation of
an adventitious membrane in joints under
such circumstances, i. 234; this is a re-
pairing process, preparatory to anchylosis,
i. 234; Henle explains the absorption of
cartilage from want of nutriment, i. 234;
Key on ulceration of cartilage, an action
altogether different from absorption, i.
235; Key on the process of ulceration
generally, i. 235; Key on the process by
which ulceration of the cartilage is effect-
ed, i. 235; it leads to the formation of
abscess, i. 235; post-mortem appearances,
i. 236; Schumer and Gendrin never found
any trace of inflammation in cartilage, i.
236; Brodie and South consider ulcera-
tion of cartilages differs from common
inflammation of the synovial membrane,
and of the spongy ends of bones, i. 236;
Brodie on the degeneration of cartilage
into a fibrous structure, i. 236; this change
Key describes as the third mode of ulcera-
tion of cartilage, i. 236; causes of the
disease, i. 237; Brodie on the period at
which ulceration of the articular cartilages

may occur, i. 237; prognosis always un-
favourable, i. 237; treatment, i. 237. In-
flammation of the joint-ends of bones, i.
237; symptoms, i. 237; Brodie on inflam-
mation of the joint-ends of the bones, its
symptoms and progress, i. 238; Brodie on
the consequence of this inflammation, i.
238; Key on the two forms of disease in
the bone, resulting in absorption of the car-
tilage, i. 238; the chronic form is of a
strumous nature, i. 238; the acute form
differs from the former in the suddenness of
the attack, and in the appearance of the
bone, i. 238; progress of the acute disease,
and appearance of the bone, i. 239; Good-
sir on the scrofulous disease of the cancel-
lated texture of the heads of bone, i. 239;
post-mortem appearances, i. 239; situation
and causes of the disease, i. 239; Brodie
and Key on the period at which it is likely
to occur, i. 239; Brodie observes that
it is likely to occur in several joints at
once, or in succession, i. 239; Brodie and
South's opinion that the occurrence of
scrofulous disease in the joint has sus-
pended the progress of some other and
perhaps more serious disease elsewhere, i.
240; Brodie on the diagnosis between
scrofulous disease of the joint-ends of
bones and ulceration of the articular car-
tilages, i. 240; prognosis and treatment, i.
240; favourable consequences of ulcera-
tion of the cartilages, i. 240; may occur
in one of two ways, i. 240; in the first
the cartilage is replaced by a layer of
ivory-like bone, and the motions of the
joint continue, i. 240; in the second, the
opposed ends of the bones are united,
either by a ligamento-fibrous structure, or
by bone, i. 240; South has seen the con-
necting medium composed partly of liga-
mento-fibrous, and partly of bony matter,
i. 240; South on the ivory-like covering
of the joint-surfaces of bones, i. 240; Key
and Toynbee on the removal of the arti-
cular cartilages in old age i. 241; South
and Brodie on the removal of the articular
cartilages in old age as the result of pre-
vious ulceration, i. 241; John Hunter on
anchylosis, i. 241; anchylosis effected by
the whole substance of the articulation, i.
241; of two kinds, i. 241; Hunter on the
inflammatory and scrofulous diseases of
joints causing anchylosis, i. 242; Hunter on
soft anchylosis from granulations, i. 242;
Hunter on bony anchylosis, i. 242; South's
views on anchylosis differ somewhat from
those of Hunter, i. 242; South on soft
anchylosis from granulations, i. 242; Key
on the formation of a vascular membrane
in joints as a preliminary to anchylosis,
i. 242; South's case of fibrous anchylosis,
i. 243; South's case of the complication
of bony and fibrous anchylosis, i. 245;