American practice of surgery : a complete system of the science and art of surgery . Fig. 237.—Infectious Arthritis. Complete fibrous joint ankylosis; noitluT atrophy nor change in articular surfaces. (Original.) and separate conditions. One represents atrophy, the other Itypertrophy;one a destruction of cartilage and a loss of substance, the other thickening of THE INTERPRETATION OF RADIOGRAPHS. 659 cartilage, the deposition of lime salts, and actual outgrowth of new from the onset of the first symptoms the two diseases seem to differessentially. One is occasionall
American practice of surgery : a complete system of the science and art of surgery . Fig. 237.—Infectious Arthritis. Complete fibrous joint ankylosis; noitluT atrophy nor change in articular surfaces. (Original.) and separate conditions. One represents atrophy, the other Itypertrophy;one a destruction of cartilage and a loss of substance, the other thickening of THE INTERPRETATION OF RADIOGRAPHS. 659 cartilage, the deposition of lime salts, and actual outgrowth of new from the onset of the first symptoms the two diseases seem to differessentially. One is occasionally superimposed upon the other just as scarletfever may be accompanied by diphtheria. In these rather unusual cases thepatients themselves will, as a rule, recognize them as distinct processes. Theinterpretation of the negatives, in suspected or pronounced cases of thesediseases, is interesting and not difficult (see Figs. 230-234).. Fig. 238.—True Gout. Definite loss of substance of shafts of proximal phalanges of index and littlefingers. Several joints involved. No tophi distingtushable. (Original.) Infectious Arthritis. A large number of joint lesions, single and multiple, are unquestionablyproduced by some toxin or are due to a true bacterial infection. To these,Goldthwait has given the name of infectious arthritis. It is possible todistinguish these by the x-rays, as well as clinically. Indeed, when the clinicaldiagnosis is in doubt, the radiograph often furnishes conclusive evidence. Thejoint lesion in the active stage represents neither essential atrophy norhypertrophy of bone structures. The capsule is thickened and infiltrated, 660 AMERICAN PRACTICE OF SURGERY. with or without excess of fluid in the joint, but with no erosion of joint sur-faces (see Figs. 235-237). The j-rays would suggest that the so-called Stills disease represents anidentical or certainly analogous process.
Size: 1387px × 1801px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorbuckalbe, bookcentury1900, bookdecade1900, bookyear1906
