F- CLINICAL ASPECTS OF SPINAL CORD INJURIES
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Of particular interest is the spread of infection in the sinus sores over the ischial
tuberosity, and we can distinguish the extension of the infection in three directions:
a Along the ischial ramus, the infection spreading, as a rule, in a lateral direction
towards the hip joint. Fig. 207, although it may, very rarely, also spread medially towards
the symphysis pubis.
b Down along the posterior fascial compartments of the thigh, sometimes as far as the
knee, in walking cases (Fig. 210).
c Forwards into the region of the groin. This direction of spread is associated with
prolonged and continuous nursing in prone position. The patient will develop a swelling
in the groin, which will either perforate spontaneously or reveal pus on aspiration. The
FIG. 210.
