American practice of surgery : a complete system of the science and art of surgery . Fig. 257.—Rachitis. Wide cloudy space between the diaphysis and the epiphysis. Small size ofepiphyseal bone centre. Typical enlargement of contour seen at the epiphjseal line. (Original.) plate is equally characteristic and often furnishes the most definite and con-clusive evidence in an unsuspected case. It is not difficult to mistake theindefinite symptoms of bone pain and slight thickening of an earh case for spe-cific disease or osteomyelitis. If .r-ray evidence is sought, it will usually befound that othe
American practice of surgery : a complete system of the science and art of surgery . Fig. 257.—Rachitis. Wide cloudy space between the diaphysis and the epiphysis. Small size ofepiphyseal bone centre. Typical enlargement of contour seen at the epiphjseal line. (Original.) plate is equally characteristic and often furnishes the most definite and con-clusive evidence in an unsuspected case. It is not difficult to mistake theindefinite symptoms of bone pain and slight thickening of an earh case for spe-cific disease or osteomyelitis. If .r-ray evidence is sought, it will usually befound that other bones of the body show typical lesions often quite unsuspected THE INTERPRETATION OF RADIOGRAPHS. 675. 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
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Keywords: ., bookauthorbuckalbe, bookcentury1900, bookdecade1900, bookyear1906
