A treatise on orthopedic surgery . Three cases of osteomalacia inchildhood have been reported by Siegert,^ and one case has comeunder my observation. The patient, one of twelve living chil-dren of healthy parents, was nursed by his mother for the usualperiod, and until the age of four years he appeared to be per-fectly healthy. At this time, without known cause, general weak-ness became apparent, and at the same time deformities of thelower extremities developed. At the age of six years he was unableto stand. The condition of the patient at nine years of age isshown in Fig. 343. The patient ha
A treatise on orthopedic surgery . Three cases of osteomalacia inchildhood have been reported by Siegert,^ and one case has comeunder my observation. The patient, one of twelve living chil-dren of healthy parents, was nursed by his mother for the usualperiod, and until the age of four years he appeared to be per-fectly healthy. At this time, without known cause, general weak-ness became apparent, and at the same time deformities of thelower extremities developed. At the age of six years he was unableto stand. The condition of the patient at nine years of age isshown in Fig. 343. The patient had never suffered from painor discomfort. The lower extremities were somewhat atrophiedfrom disuse, the bones were abnormally flexible and were dis-torted to a moderate degree. The epiphyses were not enlarged.^ Miinch. med. Woclieuschr., November 1, 1898. CONGENITAL AND ACQUIBED AFFECTIONS. 531 Treatment.âAs the etiology of the affection is unknown, thetreatment is therefore experimental or symptomatic and pallia-tive. Fig. Osteomalacia in a child. Local Osteomalacia.âWhen deformity of a bone appears andincreases without apparent cause it is often assumed that a localdiseaseâ local rickets or local osteomalacia âis present. Local weakness and deformity may be caused by injury or bysubacute osteomyelitis and the like. If there is a distinct localdisease that deserves the name of local osteomalacia its causehas not been determined. OSTEITIS DEFORMANS. This disease was first described by Paget^ in 1877. It is achronic inflammatory affection of the bones, characterized byhypertrophy and softening. The bones enlarge, soften, andthose bearing weight become unnaturally curved and mis-shapen. ^ Med. Chir. Trans., Vols. xl. and Ixv. 532 OBTHOPEDIC SUSGEBY. Section of an affected bone shows it to be markedly increasedin size, and somewhat in length, by a combination of rarefyingand formative osteitis. The inner layers become porous, and atthe same time new bone is deposited bene
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