American practice of surgery : a complete system of the science and art of surgery . Fig. 2.)S.—Severe Rachitis. Sliglit bowing of femur on the left side. Markidly irregular eiiijiliy-seal line. Gradual flaring of diaphyses. Extreme coxa vara. (Original.) 676 AMERICAN PRACTICE OF SURGERY by the patient. Periosteal and cortical thickening go luuul-in-liaml with cir-cumscribed and irregular areas of rarefaction. The bowing of the bones al-ways sooner or later appears, and the joint surfaces, while often showing hyper-trophic notles or spurs, are not otherwise affected. The freciuently concomitan
American practice of surgery : a complete system of the science and art of surgery . Fig. 2.)S.—Severe Rachitis. Sliglit bowing of femur on the left side. Markidly irregular eiiijiliy-seal line. Gradual flaring of diaphyses. Extreme coxa vara. (Original.) 676 AMERICAN PRACTICE OF SURGERY by the patient. Periosteal and cortical thickening go luuul-in-liaml with cir-cumscribed and irregular areas of rarefaction. The bowing of the bones al-ways sooner or later appears, and the joint surfaces, while often showing hyper-trophic notles or spurs, are not otherwise affected. The freciuently concomitantsign of arteriosclerosis reveals, in many cases, the calcified walls of the largervessels in exquisite outline. (See Pig. 255.) Osteomalacia. Cystic formations with medullary and cortical destruction, acute bowingsand angular bendings of bones in osteomalacia give us a i)icture which can. Fig. —Chondrodystrophia. Atliilt Wide siuklen expanding of enfls of bones. Sliortstubby .shafts. \o bowing in the bones affected. (Original.) liardly be confused with other conditions in a well-marked The largeamount of partly calcified callus and cartilage at the seat of spontaneousfracture is also characteristic, and so too is the marked diminution of limesalts in the bones affected (Fig. 256). Rachitis and Chondrodystrophia Fcetalis. The only condition likely to be confused with a typical rachitis is the mis-named foetal rickets, or the condition more properly designated chondrodys-trophia fcetalis. THE INTERPRETATION OF RADIOGRAPHS. 677 In both diseases the (hai)hyscal ends are flaring; in rachitis this enlargementshows an easy curve, while in chondrod3-strophia the expansion is of an abruptcharacter. In severe rachitis there exists a wide cloudy space between the epiphysisand the diaphysis, and the adjoining surfaces are irregular. The contour of theepiphysi
Size: 1406px × 1777px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorbuckalbe, bookcentury1900, bookdecade1900, bookyear1906
