Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


The _infection of the joint_ by tubercle originating in the adjacent
bone may take place at the periphery, the osseous focus reaching the
surface of the bone at the site of reflection of the synovial membrane,
and the infection which begins at this point then spreads to the rest of
the membrane. Or it may take place in the central area, by the
projection of tuberculous granulation tissue into the joint following
upon erosion of the cartilage (Fig. 156).

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