Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


The early recognition of periosteal lesions in the articular ends of
bones is of importance, as the disease, if left to itself, is liable to
spread to the adjacent joint.


The _treatment_ is that of tuberculous lesions in general; if
conservative measures fail, the choice lies between the injection of
iodoform, and removal of the infected tissues with the sharp spoon. In
the ribs it is more satisfactory to remove the diseased portion of bone
along with the wall of the associated abscess or sinus. If all the
tubercle has been removed and there is no pyogenic infection, the wound
is stitched up with the object of obtaining primary union; otherwise it
is treated by the open method.

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