A treatise on orthopedic surgery . comes to an end; thus, subluxation or displacement withsubsequent deformity and loss of growth are the usual resultsof this form of disease. At the hip-joint, for example, thelaxity of the ligaments and the upward displacement of thefemur that follow destruction of the head of the bone causesymptoms that in later life are often mistaken for those of con-genital dislocation. In some of the cases there is, in addition to the arthritis, anosteomyelitis of the shafts of one or more of the bones. Thesecases are usually fatal, or, if the patient survives, there isu
A treatise on orthopedic surgery . comes to an end; thus, subluxation or displacement withsubsequent deformity and loss of growth are the usual resultsof this form of disease. At the hip-joint, for example, thelaxity of the ligaments and the upward displacement of thefemur that follow destruction of the head of the bone causesymptoms that in later life are often mistaken for those of con-genital dislocation. In some of the cases there is, in addition to the arthritis, anosteomyelitis of the shafts of one or more of the bones. Thesecases are usually fatal, or, if the patient survives, there isusually necrosis of the affected bones and consequently extremedeformity. • Gonser, Jahrbneli f. July, 1902. NON-TUBEBCULOUS DISEASES OF THE JOINTS. 279 In the cases reported by Townsend the death-rate was, in themonarticular form, 18 per cent.; in the multiple form, Y3per cent. In a total of 122 cases of all varieties tabulated bj Hoffmann,the death-rate was 46 per cent. In 87 the affection was confined Fig. 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. 191.
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