American practice of surgery : a complete system of the science and art of surgery . Fig. 157.—Congenital () (von 356 AMERICAN PRACTICE OF SURGERY. pelvis, and then begin changes in the pelvic girdle itself. Sometimes the altera-tions seem to be checked at this point, leaving, of course, permanent deformityof the parts involved; and occasionally it appears that a sclerotic processtakes the place of that which had been going on. and final recovery is markedby osteosclerosis, all of which, however, may change with succeeding the softening extend to the vert
American practice of surgery : a complete system of the science and art of surgery . Fig. 157.—Congenital () (von 356 AMERICAN PRACTICE OF SURGERY. pelvis, and then begin changes in the pelvic girdle itself. Sometimes the altera-tions seem to be checked at this point, leaving, of course, permanent deformityof the parts involved; and occasionally it appears that a sclerotic processtakes the place of that which had been going on. and final recovery is markedby osteosclerosis, all of which, however, may change with succeeding the softening extend to the vertebral column and the throrax, then pro-nounced deformities are there produced. Their development is nearly always. Fig. 16.—Classical Case of Morands of General Osteomalacia. (Skeleton in the Musee Dupuy- tren, Paris.) accompanied by more or less pain. In the typical complete cases similar soften-ing involves the other bones of the skeleton, while marked deformities occurabout the joints, and the shafts of the long bones become more or less bent, theresult being a crippling of the entire body, which may be partially or completelydisabling. The puerperal forms are, as a rule, more rapid in course than theso-called spontaneous or non-puerperal, the latter beginning most often in thevertebral column. Somewhat different is the clinical type of cases which are more entitled tothe term fragilitas ossium—cases in which the changes that have taken placeexhibit few or no recognizable features until, with scarcely any violence, a fract-ure, usually of a long bone, takes place, the circumstances attending it first NON-INFLAMMATORY AFFECTIONS OF BONES. 357 calling attention to the unusual frangibility of
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Keywords: ., bookauthorbuckalbe, bookcentury1900, bookdecade1900, bookyear1906
