A treatise on orthopedic surgery . e proliferative or atrophic fonn which tends to destroythe joint cartilage and leads to anchylosis (Figs. 201—202). Gout.—Gout is comparatively of slight importance from theorthoiDedic standpoint. It affects more particularly those ofmiddle life and it is characterized by acute inflammatory at-tacks followed by deposits of urate of sodium on or about thearticular surfaces of the affected joints. After repeated attacksthe cartilage and the bone may be in part destroyed, and thejoint may be enlarged by deposits in the periarticular tissues andby the inflammator
A treatise on orthopedic surgery . e proliferative or atrophic fonn which tends to destroythe joint cartilage and leads to anchylosis (Figs. 201—202). Gout.—Gout is comparatively of slight importance from theorthoiDedic standpoint. It affects more particularly those ofmiddle life and it is characterized by acute inflammatory at-tacks followed by deposits of urate of sodium on or about thearticular surfaces of the affected joints. After repeated attacksthe cartilage and the bone may be in part destroyed, and thejoint may be enlarged by deposits in the periarticular tissues andby the inflammatory thickening of the neighboring joints. The ^Whitman, Medical Eecorcl, April IS, 1903.^ Arthritis Deformans, Boston, 1910. NON-TUBEBCULOUS DISEASES OF THE JOINTS. 293 joints most often involved are that of the great toe, the ankle,knee, and the joints of the fingers. If the feet are weakened ordistorted as the effect of gout, a proper support to distribute theweight more generally on the sole is often of service. The Fig. Degenerative arthritis ; moderate degree. Ptiotomicrograpli of section througii aplialangeal joint and adjacent plialanges sliows that the line of the joint cavity isvery irregular. Areas of hyperplasia of the cartilage (1), with, in other places,erosion of the cartilage down to eburnated bone of the opposing phalanx (2).In other cases the cartilage shows fibrillation (3). There is moderate thick-ening of the capsule. (Nichols and Richardson.) Fig. 201.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
