Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


With few exceptions, tuberculous disease in the interior of a bone does
not reveal its presence until by extension it reaches one or other of
the surfaces of the bone. In the shaft of a long bone its eruption on
the periosteal surface is usually followed by the formation of a cold
abscess in the overlying soft parts. When situated in the articular ends
of bones, the disease more often erupts in relation to the reflection of
the synovial membrane or directly on the articular surface--in either
case giving rise to disease of the joint (Fig. 156).

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