. A text-book of medicine for students and practitioners . Fig. 104.—Appearance of the hand in a easeof protracted arthritis deformans (per-sonal observation). CHRONIC POLYARTHRITIS—CHRONIC ARTICULAR RHEUMATISM 19 )lial;iii<iLs arc di- tlic hack of llic liaiid arc atrophied. Ilic hascs of the llivtreeted obliquely toward one side, so Dial the (iiij^ers assume more and morethe appearance ol subluxation. They are bent over toward the back of thehand, and are also displaced toward the uhuir side, so that they often actuailvcome to rest one upon the other. The palm of the hand is frequently dee
. A text-book of medicine for students and practitioners . Fig. 104.—Appearance of the hand in a easeof protracted arthritis deformans (per-sonal observation). CHRONIC POLYARTHRITIS—CHRONIC ARTICULAR RHEUMATISM 19 )lial;iii<iLs arc di- tlic hack of llic liaiid arc atrophied. Ilic hascs of the llivtreeted obliquely toward one side, so Dial the (iiij^ers assume more and morethe appearance ol subluxation. They are bent over toward the back of thehand, and are also displaced toward the uhuir side, so that they often actuailvcome to rest one upon the other. The palm of the hand is frequently deeplyhollowed out. Often the jjhalangeal joints also are distorted, so tliat, forexample, there will be an obtuse angle on the doisal surface of the fingersbetween the first and second phalanx, while the terminal phalanx is apt to be. Fir,. 105.—Chronip arthritis deformans with contracture of the hip joint and knee joints. flexed, altliough the second phalanx preserves a position of extension. Despitethese changes, many patients, if only the thuml) remains toleral)ly al)le to nse their hands for quite delicate woi-k, although at the expense ofnmch time and effort. Arthiitis deformans scarcely ever causes anchylosis ofthe small joints of the fingers. The elbow joints are often decidedly forearms usually assume a ]iosition of [nonation, combined with more orless flexion. Even the mobility of the shoulder joints progressively diminishes,so that at last the arms cannot be raised at all. At the same time there iscontracture of the adductor muscles. 20 DISEASES OF THE ORGANS OF LOCOMOTION With rotjanl lo llu lower iwlrciiiitics, tlicliip and knee joints usually sufTermore than the ankle. The small joints of the toe. as a rule, escape the lar^^er joints there is sometimes a chronic
Size: 1558px × 1603px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, bookidtextbookofme, bookyear1912
