. A radiographic atlas of the pathologic changes of bones and joints . PLATE XXI. — 70 — PLATE XXII. TUBERCULOSIS OF THE BONES OF THE WRIST—PRESENCE OF SEQUESTRA. Tubercular involvement o{ the lower end of the radius, with destructionof its articular surface, and loss of bone substance on the outer surfaceof the bone. Extensive involvement and destruction of the carpal bones. The trapezium is the only one of these that can be distinctly made out. The whole wrist presents the appearance of one mass of tuberculargranulation tissue, with irregular darker areas of bone necrosis. On the ulna side t


. A radiographic atlas of the pathologic changes of bones and joints . PLATE XXI. — 70 — PLATE XXII. TUBERCULOSIS OF THE BONES OF THE WRIST—PRESENCE OF SEQUESTRA. Tubercular involvement o{ the lower end of the radius, with destructionof its articular surface, and loss of bone substance on the outer surfaceof the bone. Extensive involvement and destruction of the carpal bones. The trapezium is the only one of these that can be distinctly made out. The whole wrist presents the appearance of one mass of tuberculargranulation tissue, with irregular darker areas of bone necrosis. On the ulna side the secondary involvement of the soft parts and thepresence of pus are well PLATE XXII. PLATE XXIII. TUBERCULAR OSTEOMELITIS OF THE TIBIA—THIS CASE HAD SUFFERED WITH AN UNDIAGNOSED PAIN IN THE KNEE FOR OVER ONE YEAR, DURING WHICH TIME HE WAS SUBJECTED TO NUMEROUS AND VARIED TREATMENTS. Below the epiphyseal line and in a position corresponding to the tubercleof the tibia is a light shadow of bone rarefaction, surrounded by a well-marked, dense shadow of bone sclerosis.


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