File:The Medical and Surgical History of the War of the Rebellion. Part III, Volume II. (3rd Surgical volume) (1883) (14576238017).jpg

Identifier: MSHWRSurgical3 (find matches)
Title: The Medical and Surgical History of the War of the Rebellion. Part III, Volume II. (3rd Surgical volume)
Year: 1883 (1880s)
Authors: U.S. Army Surgeon General's Office
Subjects: Civil War military medicine Medicine, Military -- History United States Surgery, Military Medical care Wounds and injuries -- Surgery United States -- History Civil War, 1861-1865 Medical and sanitary affairs
Publisher: Otis Historical Archives, National Museum of Health and Medicine
Contributing Library: U.S. Army Medical Museum

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a purulent fluid for about two inchesfrom the patulous opening. A curious appearance was observed in one of the small branches of the profunda vein in the upperthird of the thigh. It presented the same general aspect seen in the patulous end of the femoral, and was filled with pseudo-pus. A drawing (made by Hospital Steward E. Stauch, and copied in Plate XXIII, opposite) of the upper two-thirds of thefemur, removed at the post-mortem, shows the separation of the periosteum in osteomyelitis. Upon a longitudinal section of thefemur (Plate XLIX, opposite p. 314) the medulla throughout was found to be of a grayish-yellow color, which was moreintense at the region of the trochanter than elsewhere. Numerous small abscesses, more or less elliptical, were arranged lineally 1 A condensed abstract of this case was published bj- Dr. ALLEJJ in the American Journal of Medical Sciences, 1865, Vol. XLIX, p. 39, in connec-tion with his Remarks on the Pathological Anatomy of Osteomyelitis, with Cases.
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PLATF --flPARATION O^ PERIOSTEUM IN CSTFOMYE! ■ .mi !. W SECT. III. 1 SECONDARY AMPUTATIONS OF THE THIGH. 313 down the central portion of the medulla. The bone was not thickened or vascular. The periosteum, however, was inflamed,and, at the lower two-thirds of the specimen, was readily stripped from the bone, where it presented the appearance of havingbeen pulled away from the femur by the fibres of the muscles inserted upon it. Case 489.—Lieutenant-Colonel G. F. Lamon, 32d New York, was wounded in the left thigh, at Cramptons Pass, Sep-tember 14, 1862. He was conveyed to hospital at Burkittsville, whence Assistant Surgeon H. A. DuBois, U. S. A., contributedthe pathological specimen (Cat. Surg. Sect., 1866, p. 287, Spec. 792), with the following history: The injury was caused by amini<j ball, producing a compound comminuted fracture of the femur in the lower third, which was treated with Smiths anteriorsplints. The wound suppurated freely, and at the end of the second week all

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