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Theory Of Disease

J. Liebig

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being had recourseto. In a month the gaugrenous parts had all fallen off, and the humerus was exposed anteriorly up to the bicipital groove, the two upper thirds of the posterior surface being covered by the triceps; on the sixth month the humerus slipped out of the joint; an incision was now made through the remaining muscular tissues, and the bone was removed. The patient was thus left with a long, deformed stump, which was healing slowly, when two months afterwards the fleshy mass assumed a round appearance and became firm, while fragments of bony matter were discharged through the lower edge of the stump. In this state, about eleven months after the accident, the patient was admitted under the care of the author, in the Smyrna hospital. The remnant of the limb was now amputated at the shoulder-joint, and, on examining it, the new formed bone was discovered. It was of considerable size, being twenty-two cents. long, by three to four large. At the upper part there was an articular surface, corresponding exactly to the glenoid cavity, with which it was united by ligamentous matter, enveloping the newly formedjoint; at the upper and inner part there was also an articular process, which was connected by ligamentous bands with the third rib.

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