. Radiography, X-ray therapeutics and radium therapy . PLATE \.\Y. -TdBERCULAB DISEA8ES OF .Joints. a, Tubercular disease of lower end of femur, involving diaphysis and epiphysis, a considerable degreeot sclerosis of bone around an abscess cavity. h, Lateral view showing the same changes. (Radiographs by l>r. Et. W. A. Salmond.) c, Tubercular area in scaphoid. (Radiograph by Dr. R. W. A. Salmond.) d, Tubercular disease a1 ankle-joint ; note rarefaction of bones of PLATE XXVI.—Tuberculosis 01 Bones and Joints. a, Tubercular disease of bones of hand, characterised by new bone formation
. Radiography, X-ray therapeutics and radium therapy . PLATE \.\Y. -TdBERCULAB DISEA8ES OF .Joints. a, Tubercular disease of lower end of femur, involving diaphysis and epiphysis, a considerable degreeot sclerosis of bone around an abscess cavity. h, Lateral view showing the same changes. (Radiographs by l>r. Et. W. A. Salmond.) c, Tubercular area in scaphoid. (Radiograph by Dr. R. W. A. Salmond.) d, Tubercular disease a1 ankle-joint ; note rarefaction of bones of PLATE XXVI.—Tuberculosis 01 Bones and Joints. a, Tubercular disease of bones of hand, characterised by new bone formation affecting metacarpal bones;mil phalanges. 6, Tubercular disease al end of radius, Localised abscess. (Radiograph by Dr. R. \V. A. Salmond.) c, Tubercular dactylitis affecting 2nd and 3rd metacarpal bones. </. Tubercular disease al upper end of humerus (caries sicca . Radiograph by Dr. R. W. A. Salmond.) TUBERCULOSIS OF JOINTS 175 The later stages of tubercular disease are much easier to recognise ;rarefaction, caseation, and formation of pus are readily distinguished. Alocalised rarefaction of bone in the neighbourhood of a joint should arousesuspicion of the presence of pus, particularly when the bone round the rarefiedarea shows a tendency to condensation. The epiphysis may assume a worm-eaten appearance, which is distinctive of early caries ; later this maycompletely disappear. It is important also to be able to distinguish between tuberculous andnon-tuberc
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