A treatise on orthopedic surgery . disease isacute, and in which there is considerable effusion, there may besubluxation or actual luxation of the phalanges, more often atthe metacarpal articulations, combined with more or less absorp-tion of the extremities of the bones. In such instances motionis preserved in the affected joints. In typical cases the final result in any joint is either anchy-losis or limited motion accompanied by flexion is, of course, general atrophy of the muscles and of thebones corresponding in degree to the functional disability thatis present. The onset
A treatise on orthopedic surgery . disease isacute, and in which there is considerable effusion, there may besubluxation or actual luxation of the phalanges, more often atthe metacarpal articulations, combined with more or less absorp-tion of the extremities of the bones. In such instances motionis preserved in the affected joints. In typical cases the final result in any joint is either anchy-losis or limited motion accompanied by flexion is, of course, general atrophy of the muscles and of thebones corresponding in degree to the functional disability thatis present. The onset of atrophic arthritis may be acute, resemblingrheumatism, many joints being involved simultaneously. It isusually subacute and even limited primarily to a single joint,slowly extending its area. NON-TUBEBCULOUS DISEASES OF THE JOINTS. 289 Tlie larger joints may be involved before those of the hands,or vice versa. In childhood the disease often begins in one ofthe larger joints, causing stiffness, deformity, and pain on Fig. Stills form of polyarthritis, sliowing the general atrophy, the enlarged joints,and the prominence of the abdomen, due to amyloid degeneration of the liverand spleen. motion. There is nsnally some local heat and infiltration, in-creasing and diminishing according to the character of thedisease and to the strain or injury to v^hich the joint may be Fig. 198.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
