A treatise on orthopedic surgery . Deformities resulting from infections osteomyelitis. to one joint; in the remainder from two to five joints ^ Acute Tuberculous Arthritis.—In early infancy forms ofacute tuberculous disease, especially at the knee-joint, may simu-late closely infectious arthritis. The joint may become swollen, ^ Medical Bulletin, Washington University, September, 1902. 280 OBTHOPEDIC SUBGEBY. hot, and sensitive to pressure, and the onset may be sudden andaccompanied by constitutional disturbance. Such cases aremore often observed in the children of mothers suffe
A treatise on orthopedic surgery . Deformities resulting from infections osteomyelitis. to one joint; in the remainder from two to five joints ^ Acute Tuberculous Arthritis.—In early infancy forms ofacute tuberculous disease, especially at the knee-joint, may simu-late closely infectious arthritis. The joint may become swollen, ^ Medical Bulletin, Washington University, September, 1902. 280 OBTHOPEDIC SUBGEBY. hot, and sensitive to pressure, and the onset may be sudden andaccompanied by constitutional disturbance. Such cases aremore often observed in the children of mothers suffering fromadvanced disease of the lungs. ACUTE OSTEOMYELITIS. Infectious osteomyelitis is most common in adolescence andthe extremities of the bones in the neighborhood of the epiphy- FiG. Tuberculous osteomyelitis localized in the lower extremities of the radiusand ulna, demonstrated by the a;-ray and removed before the wrist-joint wasinvolved. seal cartilages are most often involved. Trendel, from thehistories of 1058 cases in Bruns^ clinic, states that it is mostcommon in the period from the thirteenth to the seventeenthyear. In one-half the cases the femur was involved; in one-third the tibia. Injury has apparently an important determin-ing influence on the localization of the disease. The symptoms are local sensitiveness of the bone, pain, andconstitutional disturbance. The neighboring joint is usually^ Beit. zur. kliu. Chir., Bel. xli., p. 3. NON-TUBEBCULOUS DISEASES OF THE JOINTS. 281 distended by a sympathetic synovitis, and the overlying tissuesare usually infiltrated. The treatment consists in immediateopening of the bone at the suspicious point, in order to relievethe tension and to establish drainage. In certain instances thejoint itself may be directly invo
Size: 1437px × 1738px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
