1. =Bones and Bone-Marrow.= The methods employed will depend wholly
upon the indications in any given case, the anatomic relations and
the aim of the examination. Anatomic knowledge should be applied in
the removal of any bone. In the case of the extremities adequate
incisions should be made in the skin extending the entire length of
the bone which is to be removed, and the soft parts dissected from
the bone before the latter is disarticulated or cut out. When the
bone is examined _in situ_ it may be opened with hammer and chisel or
cut with a saw, either transversely or longitudinally, so as to give
the most instructive picture of the condition present. The spinal
column may be cut longitudinally. The symphysis pubis is first cut
through, a block of wood is placed beneath the lumbar vertebræ, and
the vertebral bodies are sawed through in the median line, from below
upward, moving the block toward the head as the sawing proceeds.
The cut-surfaces of the vertebræ are then inspected. The _pelvis_
may be removed whole in connection with the lumbar vertebræ and the
upper halves of the femurs. The _spinal column_ and the _pelvis_ may
also be removed entire by sawing the ribs on each side of the spine,
cutting the occipito-atloid ligaments above, and disarticulating
the femurs or sawing them at their upper half or third and removing
them with the pelvis. Of the long bones the _femur_ is the one most
frequently examined. An incision is made in the skin from the groin
in the direction of the large vessels extending to the middle of the
leg. The ligamentum patellæ is cut through and the skin and muscles
turned back at the knee until the joint is laid bare; the capsule
of the joint is opened and the femur disarticulated. The skin and
muscles are then separated from the upper part of the femur, the
hip-joint opened, and the femur disarticulated and removed. When
held in a vise it may be opened longitudinally by sawing. Other
bones are removed as indicated; the chief points to be observed in
their removal are the anatomic considerations and the making of the
incisions in such a way as to cause the least possible disfigurement.
For the examination of the _bone-marrow_ the tibia or femur,
sternum, a rib and the body of one of the vertebræ are usually opened
by means of the saw or chisel.
2. =Joints.= The joints are opened for examination with attention to
the same considerations given above for the examination of the bones.
Approved surgical incisions may be used. If fistulous openings into
the joint are present these should not be cut until the joint is
open. When bacteriologic examinations are to be made the joint should
be opened with a sterile knife, or the capsule seared and punctured
with a sterile pipette through which the contents of the joint-cavity
are secured. The articular surfaces, epiphyses and diaphyses should
be examined by transverse or vertical incisions.
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