. American quarterly of roentgenology . rpal bones. Operation: Bone removed from fifthmetacarpal for diagnosis found to be tubercular. Roentgen examination: Necrosis of heads of third, fourth andfifth metacarpal bones of right hand, with fracture of shaft offifth just below head. Fusion of bases of fourth and fifth meta-carpals and somewhat of the third. Disease of os magnum,unciform and pisiform with fusion of os magnum and unciform. Group IV. Tuberculosis of the Diaphysis. Case 11. Female, ae. 11. Diagnosis: Tuberculous Osteomye-litis of Tibia. Duration 2 years. Operation: osteotomy andcuret
. American quarterly of roentgenology . rpal bones. Operation: Bone removed from fifthmetacarpal for diagnosis found to be tubercular. Roentgen examination: Necrosis of heads of third, fourth andfifth metacarpal bones of right hand, with fracture of shaft offifth just below head. Fusion of bases of fourth and fifth meta-carpals and somewhat of the third. Disease of os magnum,unciform and pisiform with fusion of os magnum and unciform. Group IV. Tuberculosis of the Diaphysis. Case 11. Female, ae. 11. Diagnosis: Tuberculous Osteomye-litis of Tibia. Duration 2 years. Operation: osteotomy andcuretting. Pus sterile. Roentgen examination: Considerable thickening of periosteumand cortex of lower third of tibia with encroachment on medul-lary cavity by wavy thickenings of cortex. Areas of increasedradiability just above the epiphysis. Case 12. Female, ae. 7, Diagnosis: Tuberculosis Osteomye-litis of entire shaft of Tibia. Duration 7 weeks. Operation:osteotomy and curetting. Sinus found at time of operationfrom which pus was Fig. 1. Case 11. Tuberculous Osteomyelitis of Shaft of Tibia,ened periosteum and cortex with wavy outline of latter,volvement of epiphyses. Note thick-Almost no in- 1
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