Manual of Surgery for Students And Practitioners

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In the traumatic variety, however, the fixity is greatest at first, and the movements subsequently improve ; in the tuberculous form, the limitation of movement gradually increases until complete ankylosis supervenes. Excision of the head of the bone is almost always required in order to effect a cure.
In the Elbow (Fig. 281) the disease is most common in young adults, and is often primarily osseous, commencing in the olecranon or outer condyle of the humerus. In children the synovial membrane
...is first affected, frequently starting in the superior radio-ulnar articulation.
The swollen synovial membrane bulges on either side of the ole- cranon and tendon of the biceps, and can often be felt over the head of the radius. Sinuses form by the side of the olecranon, or an abscess may burrow upwards along the ulnar nerve and open on the inner aspect of the arm.
Prolonged immobiliza- tion, followed, if need be, by incision and partial removal of the synovial membrane, often suffices in children, leaving, how- ever, a stiff elbow, which must be left alone until growth is completed.


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