. The American journal of roentgenology, radium therapy and nuclear medicine . sed densityjust proximal to the lower epiphysis of the rightfemur, with slightly increased density just distalto the line. The appearance is not so well de-fined in the other bones. (There was a break inthe plate through the lower end of the left femurand the shadow of the break has been touchedout.) The appearance at the lower ends of thetibiae and fibulae suggests rickets. Note the ab-sence of any evidence of hemorrhage at this time. attachment of the periosteum at this site.(Fig. 2.) The chief clinical manifestat
. The American journal of roentgenology, radium therapy and nuclear medicine . sed densityjust proximal to the lower epiphysis of the rightfemur, with slightly increased density just distalto the line. The appearance is not so well de-fined in the other bones. (There was a break inthe plate through the lower end of the left femurand the shadow of the break has been touchedout.) The appearance at the lower ends of thetibiae and fibulae suggests rickets. Note the ab-sence of any evidence of hemorrhage at this time. attachment of the periosteum at this site.(Fig. 2.) The chief clinical manifestations areanemia, lassitude, great weakness, immobil-ity, swelling and tenderness of the extrem-ities. The lesions are usually multiple inrespect to the number of limbs involved. In the roentgen examination for scurvythere are three appearances to be carefullynoted. First, the epiphyseal line is usuallyperfectly normal, but directly behind theepiphyseal line, and according to our obser-vations in the case here reported, at the siteof the periosteal attachment, there appears a. Fig. 2. Lower Extremities, Nine Days After Ad-mission, July 23, 1919. Note the enormous hour-glass shaped subperiosteal hemorrhages extendingthe entire lengths of the femurs. The effusion atthe lower end of the left femur has widened theline of decreased density and apparently pushedthe margin of the diaphysis and the epiphysis awayfrom the shaft. This shows the point of attach-ment of the periosteum at the epiphyseal line. stages of the disease is that of a line of de-creased density due to the absence of bonestructure. The edges of the bone structureapproximating this line of decreased densityare more or less increased in density. Thelines of decreased density and increaseddensity are frequently confused in theroentgenologic descriptions of this a line of condensation repre-senting the area of increased density persistsand moves up the shaft as the bone grows.(Figs. 3, 4.) The perioste
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