. The American journal of roentgenology, radium therapy and nuclear medicine . Fig. 5. Gonorrheal Arthritis of the Ankle Joint,OF One Months Duration. The roentgenogram shows some cloudiness of thesynovial fluid, but no bone involvement. Syphilis of bone is very difficult to diag-nose due to the different methods of affect-ing the bony structure. The three chiefmanifestations of syphilis of bones areepiphysitis, periostitis and gumma. Syph-ilitic epiphysitis shows on the roentgeno-gram as an irregular epiphyseal line,thickened epiphyses and periosteal newbone formation on the shaft side of the
. The American journal of roentgenology, radium therapy and nuclear medicine . Fig. 5. Gonorrheal Arthritis of the Ankle Joint,OF One Months Duration. The roentgenogram shows some cloudiness of thesynovial fluid, but no bone involvement. Syphilis of bone is very difficult to diag-nose due to the different methods of affect-ing the bony structure. The three chiefmanifestations of syphilis of bones areepiphysitis, periostitis and gumma. Syph-ilitic epiphysitis shows on the roentgeno-gram as an irregular epiphyseal line,thickened epiphyses and periosteal newbone formation on the shaft side of theepiphyseal line. It differs from tubercu-losis in that in the latter we find rarefac-tion. Syphilis affects the epiphyseal siderather than the diaphysis. Occasionallyerosions and separation of the epiphysisresults from syphilis, also the periostealthickening may occur on the shaft sideof the epiphyseal line in tubercular epiphy-sitis. In these cases, the diagnosis bemade from the roentgenogram alone, butmust be reached by weighing all the evi-dence in the case. The
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