Scurvy past and present . Fig. 6.—Posterior-anterior view of shoulder of infant (R. S.) 17 months old. Severe scurvy. Subperiosteal hemorrhage of humerus, and separation of upper Fig. 7.—Anterior-posterior view of same shoulder (see fig. 6) 22 months later. Complete restitution of epiphysis without deformity of humerus. PATHOLOGY 109 As the result of the lack of bone formation and theconsequent weakening of the corticalis and the spongiosa,frequently a separation of the diaphysis from theepiphysis results. This lesion should not be regarded as atrue separation, for, as Barlow point
Scurvy past and present . Fig. 6.—Posterior-anterior view of shoulder of infant (R. S.) 17 months old. Severe scurvy. Subperiosteal hemorrhage of humerus, and separation of upper Fig. 7.—Anterior-posterior view of same shoulder (see fig. 6) 22 months later. Complete restitution of epiphysis without deformity of humerus. PATHOLOGY 109 As the result of the lack of bone formation and theconsequent weakening of the corticalis and the spongiosa,frequently a separation of the diaphysis from theepiphysis results. This lesion should not be regarded as atrue separation, for, as Barlow pointed out, the line ofcleavage is not at the junction, but below it, involving theuppermost region of the diaphysis. It is therefore correctto speak of a fracture or infraction. This lesion is gener-ally accompanied by a deformity of the surface contourof the junction, due to a displacement of the cartilage, asa result of which angular beading of the rib is broughtabout. In some instances the cartilage is telescopedinto the crushed end of the bone. To a varying extentfibrin covers the end of the fractured bone; the anglesadjacent to the periosteum contain blood which becomesorganized
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Keywords: ., bookcentury1900, bookdecade1920, bookid390020863480, bookyear1920
