. A radiographic atlas of the pathologic changes of bones and joints . ly associated with secondary in-flammation and degenerative changes of the surrounding disease is most common in children and young persons, andusually affects one of the larger joints (Plate LIII). It is rec-ognized on the radiogram by the paler hue of granulation the disease advances and the articular ends of the bones be-come involved this is plainly seen on the X-ray negative by thepaler shadow and the atrophy of the affected bone (Plate LR).Later the area and extent of the bone destruction (Plate LV


. A radiographic atlas of the pathologic changes of bones and joints . ly associated with secondary in-flammation and degenerative changes of the surrounding disease is most common in children and young persons, andusually affects one of the larger joints (Plate LIII). It is rec-ognized on the radiogram by the paler hue of granulation the disease advances and the articular ends of the bones be-come involved this is plainly seen on the X-ray negative by thepaler shadow and the atrophy of the affected bone (Plate LR).Later the area and extent of the bone destruction (Plate LV),with resulting deformities, show distinctly (Plate LVI). — 148 — PLATE LII. TUnERCULAR ARTHRITIS OF THE KNEE--EARLY STAGE. The dark oval shadow, inchiding the knee joint and the peri-articulartissues, indicates the presence of tuhercular granulation formations in thesynovial membrane of the joint, associated with secondary inflammationof the surrounding soft parts. The lower epiphyses of the femur is pale. The inter-articular space is much greater than PLATE LII. — ISO- PLATE LIII. TUBERCULAR ARTHRITIS OF THE HIP. The normal, clear, inter-articular space is replaced by the light grayshadow, indicative of synovial congestion and infiltration. The head and neck of the femur and the pelvic bones are paler thannormal. The light gray hue of the bones, just above and to the inner side of theacetabulum, denotes bone rarefaction and the presence of new formationtubercular granulation tissue.


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