. Physical diagnosis . Fig. 256.—a, Charcots Joint with Loose Bodies; b, Pulmonary Osteo-arthropathy. spinal cord, (b) A polyarticular primary form (rheumatoid ar-thritis or anchylosing arthritis). In both, the distinguishing characteristic is atrophy and destruc-tion of cartilage, bone, and joint membranes—a process which in theearly stages can be identified only by the x-ray (see Fig. 255). Laterthe disintegration of the joint is usually evident, and is followed bydistortions, contractures, and ankylosis. (a) The monarticular form is generally easy to recognize on accountof its rapid, painle
. Physical diagnosis . Fig. 256.—a, Charcots Joint with Loose Bodies; b, Pulmonary Osteo-arthropathy. spinal cord, (b) A polyarticular primary form (rheumatoid ar-thritis or anchylosing arthritis). In both, the distinguishing characteristic is atrophy and destruc-tion of cartilage, bone, and joint membranes—a process which in theearly stages can be identified only by the x-ray (see Fig. 255). Laterthe disintegration of the joint is usually evident, and is followed bydistortions, contractures, and ankylosis. (a) The monarticular form is generally easy to recognize on accountof its rapid, painless course, with semifluctuant swelling, secondary toa well-marked cord lesion, such as locomotor ataxia. A large joint isalmost always affected, oftenest the knee, less often the hip, shoulder,or elbow. The joint shows abnormal mobility and the bones can oftenbe felt to grate (see Fig. 256). THE JOINTS 465. Fig. 257.—Atrophic Arthritis. Early stage.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectdiagnos, bookyear1912
