. Roentgen interpretation; a manual for students and practitioners . Fig. 86.—Perthes disease. Same case as Fig. 84, three years after the firstexamination. The head of the femur is more dense, showing that repair is takingplace. TENDONS AND BURSJE 109 interference with the blood supply of the epiphysis. The end resultof such a process as seen in adults is a flattening of the head, whichis sometimes displaced downward slightly on the neck. TENDONS AND BURS-ffi. Effusion or hemorrhage in or about these tissues is shown by anarea of slightly increased density with indefinite margins. S^Tlo-vitis
. Roentgen interpretation; a manual for students and practitioners . Fig. 86.—Perthes disease. Same case as Fig. 84, three years after the firstexamination. The head of the femur is more dense, showing that repair is takingplace. TENDONS AND BURSJE 109 interference with the blood supply of the epiphysis. The end resultof such a process as seen in adults is a flattening of the head, whichis sometimes displaced downward slightly on the neck. TENDONS AND BURS-ffi. Effusion or hemorrhage in or about these tissues is shown by anarea of slightly increased density with indefinite margins. S^Tlo-vitis of the Achilles, quadriceps or extensor longus pollicis tendonsmay occasionally be suspected from thickening of the shadow andblurring of its ordinarily sharp outlines. Areas of increased densityseen in the region of the subdeltoid bursa maA be true calcifications. Fig. 87.—Subdeltoid bursitis. in the bursa, which are rare; accumulations of an opaque gelatinoussubstance in the bursa; or, what is more common, calcificationabout the tendon of the supraspinatus beneath it. Calcificationmay occur in any bursa which has been the seat of tramna orinfection. 110 JOINTS, TENDONS AND BIBLIOGRAPHY, Gushing, H.: Hereditarj- ankylosis of the proximal phalangeal joints (sympha-langism), Jour. Nerv. and Ment. Dis., 1916, xliii, p. 445. Goldthwait, J. E.: Lumbosacral articulation, British Med. Surg. Jour., 1911,clxiv, p. 365. OgUvy: Subluxations of atlas upon the axis. Am. Jour. Orthop. Surg., 1914-15,xii, p. 314. OEeilly, A.: Joint sj-philis. Am. Jour. Orthop. Surg., 1913-14, xii, p. 431. Brickner, W. M.: Subacromial bursitis, Am. Jour. Surg,. 1916, xxx, p. 108. Dunlop: Deposit simulating subacromial bursitis. Am. Jour. Orthop. Surg., 1916,xiv, p. 102. Brickner, W. M.: Subacromial bursitis, Jour. Am. Med. Assn., 1916, Ix^d, p. 912. Stein: Syphilitic
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