Hip joint with septic arthritis

Object numberGC.1101
TitleHip joint with septic arthritis
DescriptionSeptic arthritis of the hip joint
The preparation is the proximal portion of a femur from the left hip joint
From a young adult male whose previous illnesses, "fever" and a venereal sore on the glans penis, he had recovered from satisfactorily when some time later he developed a left iliac abscess which was opened in the inguinal region and discharged much pus. This had resolved to a sinus when with severe pain in the thigh and knee he developed a rapid pulse and high temperature and died eight days later apparently of septicaemia. Post-mortem examination showed a septic arthritis of the left hip with destruction of the ligamentum teres and the cartilages of encrustation of the acetabulum as well as of the femoral head.
The capsule of the joint is thick and its synovial surface shreddy from inflammatory lymph deposit. The cartilage of encrustation has been removed exposing the cancellous bone but at the margins the cartilage is thin, irregular and undermined.
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The patient, a young man, had been treated in the Royal Infirmary, Edinburgh, for a large abscess in the left inguinal region, above the situation of the inguinal ring. This was opened, and much matter was discharged. He was beginning to improve, when seized with sudden pain in the inside of his thigh and knee. Symptoms of septic absorption, indicated by fever, sweating, and afterwards delirium, came on, and he died exhausted in about a fortnight. This was probably a psoas abscess, which had pointed in the abdominal wall, and after having been opened, had turned septic and communicated with the hip-joint. "The ligamentum teres was absorbed, and the cartilage covering the head of the bone, and also that lining the acetabulum, could scarcely be said to exist." The greater part of the bone is bare of cartilage, and the bone below is rarefied.
Production periodNineteenth century, early
Object nameJOINT, hip
Object categoryAnatomical, specimen
Dimensions
- Jar Height: 17.0 cm
Diameter: 12.7 cm