. The American journal of roentgenology, radium therapy and nuclear medicine . s slightly 8o8 A Case of Tuberculosis of the Symphysis Pubis more frequent in males. The\- refer toLabeyres description of a periostitis ofthe pubic region characterized by a thick-ening and caseous transformation of theperiosteum. This type has a tendency toinvade the angle of the pubis and spreadto the symphysis, the cartilage of whichulcerates, softens and then peels away;fungosities are soon substituted for cartilage,the ligaments are resorbed and the sym-physis stripped of all means of contentionand destined to
. The American journal of roentgenology, radium therapy and nuclear medicine . s slightly 8o8 A Case of Tuberculosis of the Symphysis Pubis more frequent in males. The\- refer toLabeyres description of a periostitis ofthe pubic region characterized by a thick-ening and caseous transformation of theperiosteum. This type has a tendency toinvade the angle of the pubis and spreadto the symphysis, the cartilage of whichulcerates, softens and then peels away;fungosities are soon substituted for cartilage,the ligaments are resorbed and the sym-physis stripped of all means of contentionand destined to rupture on the least effort. history of tuberculosis. The father andmother are living and well. She has abrother about a year younger who isdescribed as frail. A few weeks before she was first seenby us, the family had noticed somethingunusual about the gait. There was difficultyabout walking fast or running. Soon afterthis a swelling was noticed on the anteriorsurface of the right thigh immediatelybelow Pouparts ligament. At this timeshe was brought for .v-ray examination. Fig. 3. Mar. 23, i(>23. Surgery is especially valuable in the treat-ment because of the fact that the symphysispubis is superficial and easily authors think, however, that inearly cases without pain, suppurationor sequestra, operation is not justified,and that such cases only call for the generaltreatment of tuberculous osteoarthriticlesions. We should like to report the followingcase in which the diagnosis was made inthe course of a roentgenological examina-tion of the lumbar spine: The patient Is a girl who was firstseen in February, 1922. She was at thetime eleven years old. She had ne\crbeen robust. She had had measles, chicken-pox and a severe attack of whooping-cough. Two years pre\ious she had hadinfluenza followed by pneumonia. Abouta year ago she had a severe colitis whichlasted about ten davs. There is no famiU Fig. 4. Mar. 23, 1923. of the spine where the abscess was supposedt
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