. Archives of physical medicine and rehabilitation . rignie VI.—Case II.—Pathol. Infectioxis ossifying periosti-tis associated with gonorrhoea. periostitis in conjunction with gonor-rhoea! arthritis, but none with an un-involved joint as in this instance. Case 3—(Pathoh, No. 29084, 10978). First observed Octo-ber 29, 1921. This patient. , was not seen by me, but hishistory and x-ray were referred to meby Dr. Walter A. Caliban of Roches-ter, N. Y, It is an infectious ossifyingperiostitis of the upper shaft of thefemur not involving the neck, and ap-parently due to foci


. Archives of physical medicine and rehabilitation . rignie VI.—Case II.—Pathol. Infectioxis ossifying periosti-tis associated with gonorrhoea. periostitis in conjunction with gonor-rhoea! arthritis, but none with an un-involved joint as in this instance. Case 3—(Pathoh, No. 29084, 10978). First observed Octo-ber 29, 1921. This patient. , was not seen by me, but hishistory and x-ray were referred to meby Dr. Walter A. Caliban of Roches-ter, N. Y, It is an infectious ossifyingperiostitis of the upper shaft of thefemur not involving the neck, and ap-parently due to foci of the infection inthe teeth. Fig. 8 is the x-ray. .As com-pared with Fig. 6 it shows chieflv thick-ening of the cortical bone beginning atboth trochanters and extending downthe shaft. This thickening shows both,dark and light areas. The marrowshadow is but slightly changed. Thereis no marked evidence of recent boneformation. It suggests an old Pig-ure VII.—Case II.—Pathol. Infectious ossifying periosti-tis associated with gonorrhoea. Clinical Hislory. The patient is awhite male, aged fifty-six. He has hadlumbago for years. Three months be-fore the x-rays were taken, he beganto have pain in the left knee and thigh,worse at night. This has continuedsince. Examination. The x-rays of theteeth show infected root abscesses, thetonsils are infected; the blood pressureis 110-80; other laboratory examina-tions negative. Dr. Caliban and hiscolleagues were rather of the opinionthat it was not sarcoma, but chronicosteomyelitis. No note was sent to meon the palpation of the involved areaof the femur, nor on joint motion. Iconcurred in their diagnosis and advisedextraction of the teeth and removal ofthe tonsils. Case 4—(Pathol. No. 29153, 1 1058)—This patients history(Miss J. B.) and x-ray were referred


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