Scurvy past and present . ial and of complete separation of the lower ends ofthe femora. This is a frequent lesion of fully-developedscurvy in infants, children, and even in young adults. Itis most frequent at the lower end of the femur, the upperend of the tibia, the head of the humerus, and the costo-chondral junctions. It is to these epiphyseal separationsthat the term fracture or infraction usually refers. Unionis remarkably perfect even where no splint has been em-ployed, and nature has effected the cure (Fig. 7). Occa-sionally there is some deformity, as when coxa varadevelops. The callu
Scurvy past and present . ial and of complete separation of the lower ends ofthe femora. This is a frequent lesion of fully-developedscurvy in infants, children, and even in young adults. Itis most frequent at the lower end of the femur, the upperend of the tibia, the head of the humerus, and the costo-chondral junctions. It is to these epiphyseal separationsthat the term fracture or infraction usually refers. Unionis remarkably perfect even where no splint has been em-ployed, and nature has effected the cure (Fig. 7). Occa-sionally there is some deformity, as when coxa varadevelops. The callus is often remarkably large; an oldcallus sometimes undergoes destruction in the courseof scurvy. We have referred to use of rontgenograms in connec-tion with separation of the epiphyses, subperiostealhemorrhage, cardiac enlargement and beading of the addition to its application in these connections, theX-ray may be of service to show a peculiar alteration ofthe ends of the long bones—the white line of Fig. IS.—Infant with marked scurvy. Characteristic posture and swelling of right thigh.
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Keywords: ., bookcentury1900, bookdecade1920, bookid390020863480, bookyear1920
