. A radiographic atlas of the pathologic changes of bones and joints . PLATE L. — 144 PLATE LI. RHEUMATOID ARTHKITIS OF THE KNEE—ATROPHIC TYPE, The inter-articular sliadow in tlic external half of the joint is darkerthan normal. In the inner half the absence of the inter-articular clear shadow indi-cates the almost complete destruction and disappearance of the PLATE LI. — 147 TUBERCULAR ARTHRITIS. This affection usually begins in the synovial membrane of thejoint (Plate LII), or it may extend to the joint from adjacentbone. It is characterized by the formation of tubercle


. A radiographic atlas of the pathologic changes of bones and joints . PLATE L. — 144 PLATE LI. RHEUMATOID ARTHKITIS OF THE KNEE—ATROPHIC TYPE, The inter-articular sliadow in tlic external half of the joint is darkerthan normal. In the inner half the absence of the inter-articular clear shadow indi-cates the almost complete destruction and disappearance of the PLATE LI. — 147 TUBERCULAR ARTHRITIS. This affection usually begins in the synovial membrane of thejoint (Plate LII), or it may extend to the joint from adjacentbone. It is characterized by the formation of tubercle tissue andgranulation tissue and is usually 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, indi


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