American practice of surgery : a complete system of the science and art of surgery . e joints are generally NON-TUBERCULOUS INFLAMMATIONS OF JOINTS. 493 much swollen, bluish-red in color, and tender to pressure and to movements,whether active or passive in character, and the entire foot shows a great ten-dency to clammy perspiration. There is also another part of the foot whichis very apt to be affected in this type of arthritis, viz., the point where theplantar fascia is inserted into the os calcis. (Fig. 215.) At this point there is greattenderness, and with this condition there is sometimes
American practice of surgery : a complete system of the science and art of surgery . e joints are generally NON-TUBERCULOUS INFLAMMATIONS OF JOINTS. 493 much swollen, bluish-red in color, and tender to pressure and to movements,whether active or passive in character, and the entire foot shows a great ten-dency to clammy perspiration. There is also another part of the foot whichis very apt to be affected in this type of arthritis, viz., the point where theplantar fascia is inserted into the os calcis. (Fig. 215.) At this point there is greattenderness, and with this condition there is sometimes associated an inflamma-tion of the bursa which is located between the back of the os calcis and thetendo Achillis. Whenever an attempt is made to move the foot on the medio-tarsal joint a good deal of muscular spasm is usually elicited. This spasm ofthe muscles, combined with tenderness over the plantar surface of the os cal-cis and with the swollen, tender great toe, causes the patient to assume a veryawkward, painful gait, and is almost always significant of a polyarthritis of. Fig. 215.—Radiograph of the Foot, Showing Spur on the Base of the Os Calcis and a Smaller butCharacteristic One on the Dorsal Posterior Surface of this Bone similar to that shown in Fig. 218,which, however, is due to a different cause. (Original.) the foot of gonorrhceal origin. It must be remembered, however, that otherinfections maybe responsible for the same phenomenon. It is in these arthriticcases of gonorrhceal origin, particularly the more chronic of them, that spurformation is noted. This lesion is due to the long-continued irritation of thejoint structures by the infective organisms or by toxins which they produce,and also by the irritation caused by simple use of the articulations when theyare in an inflamed condition. (Fig. 216.) The favorite situations in which such aspur is formed are the plantar surface of the os calcis, the back of the samebone just above the insertion of the tendo Ac
Size: 2047px × 1221px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorbuckalbe, bookcentury1900, bookdecade1900, bookyear1906
