. Roentgen interpretation; a manual for students and practitioners . Fig. 31.—Osteomyelitis of the ilium in a child. TUBERCULOSIS 55 atrophy may be severe so that the bones appear of the density ofsoft parts with finely penciled outlines. Enlargement and squaringof the epiphyses is the rule. As the process continues there is moreor less destruction of the joint surfaces eventually resulting in anky-losis as the process heals. Periostitis may develop in the neighbor-hood of tuberculous lesions, but only as a result of Fig. .32.—Tuberculous spine (anteroposterior view). The
. Roentgen interpretation; a manual for students and practitioners . Fig. 31.—Osteomyelitis of the ilium in a child. TUBERCULOSIS 55 atrophy may be severe so that the bones appear of the density ofsoft parts with finely penciled outlines. Enlargement and squaringof the epiphyses is the rule. As the process continues there is moreor less destruction of the joint surfaces eventually resulting in anky-losis as the process heals. Periostitis may develop in the neighbor-hood of tuberculous lesions, but only as a result of Fig. .32.—Tuberculous spine (anteroposterior view). The rare cases of tuberculosis of the shaft appear as an irregulardestruction in the medulla resembling that seen in a syphilitic osteo-myelitis but without involvement of cortex or periosteum. In the spine tuberculosis usually begins in the neighborhood ofthe intervertebral disks and destroys the adjacent body or bodies,which collapse, producing a k^phos. This portion of the spine is 56 BONE PATHOLOGY often suiToiinded by the fusiform shadow of a prevertebral may occur later in such an abscess. Caries sicca is a slow destructive process which is most commonin the shoulders. It causes irregular erosion of the joint surfaces and
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