. Archives of physical medicine and rehabilitation . observed a gon-orrheal arthritis extend to the neighbor-ing bone and produce typical osteo-myelitis. In this instance, apparently,a gonorrheal infection had given riseto an ossifying periostitis of such an in-sidious character that there were nosymptoms until three months beforethe x-rays were taken. The clinicalpicture was that of a snapping orlocking hip and could be easily ex-plained by some motion in the hip-jointbeyond the usual degree which im-pinged upon an area of new boneformation. Result. (March, 1922, six monthssince observation).
. Archives of physical medicine and rehabilitation . observed a gon-orrheal arthritis extend to the neighbor-ing bone and produce typical osteo-myelitis. In this instance, apparently,a gonorrheal infection had given riseto an ossifying periostitis of such an in-sidious character that there were nosymptoms until three months beforethe x-rays were taken. The clinicalpicture was that of a snapping orlocking hip and could be easily ex-plained by some motion in the hip-jointbeyond the usual degree which im-pinged upon an area of new boneformation. Result. (March, 1922, six monthssince observation). As the patient haswalked with a cane and has avoidedall extreme motions in the hip, therehave been no further attacks of pain,but he is conscious of discomfort. Arecent ,\-ray has been taken, but hasnot yet been received here. I have reviewed all my cases ofgonorrhoeal infection of joints andbones of which I have x-rays—somefifty cases in all—and find nothingidentical with this. I do find ossifying INFECTIOUS OSSIFYING PERIOSTITIS—BLOODGOOt). rignie VI.—Case II.—Pathol. Infectioxis ossifying periosti-tis associated with gonorrhoea. periostitis in conjunction with gonor-rhoea! arthritis, but none with an un-involved joint as in this instance. Case 3—(Pathoh, No. 29084, 10978). First observed Octo-ber 29, 1921. This patient. , was not seen by me, but hishistory and x-ray were referred to meby Dr. Walter A. Caliban of Roches-ter, N. Y, It is an infectious ossifyingperiostitis of the upper shaft of thefemur not involving the neck, and ap-parently due to foci of the infection inthe teeth. Fig. 8 is the x-ray. .As com-pared with Fig. 6 it shows chieflv thick-ening of the cortical bone beginning atboth trochanters and extending downthe shaft. This thickening shows both,dark and light areas. The marrowshadow is but slightly changed. Thereis no marked evidence of recent boneformation. It suggests an old affair.
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