American practice of surgery : a complete system of the science and art of surgery . Fig. 245.—Hereditary Syphilitic Disease. Same case as thut shown in Fig. 244, after anti-syphilitictreatment covering a period of two yeirs. (Original.) THE INTERPRETATION OF RADIOGRAPHS. 665 osteum and at the epiphyseal hue, with sometimes true fractmes or separa-tions of the epiphyses. Among the other alterations there is said to be a thick-ening of the cortex and periosteum with gelatinous deposit between the personally have never seen a good T-ray plate of this condition. One of the later hereditar
American practice of surgery : a complete system of the science and art of surgery . Fig. 245.—Hereditary Syphilitic Disease. Same case as thut shown in Fig. 244, after anti-syphilitictreatment covering a period of two yeirs. (Original.) THE INTERPRETATION OF RADIOGRAPHS. 665 osteum and at the epiphyseal hue, with sometimes true fractmes or separa-tions of the epiphyses. Among the other alterations there is said to be a thick-ening of the cortex and periosteum with gelatinous deposit between the personally have never seen a good T-ray plate of this condition. One of the later hereditary forms of syphilis—the juxta-epiphyseal lesions-deserves a special mention. In theseilesions areas of bone necrosis accompanya deposit of bone beneath the periosteum and some thickening of the Fig. 246.—Hereditary SypWLitlc Disease. New deposit of bone beneath the periosteum of one of themetacarpal bones. Old line of cortex seen. (Orighial.) Were it not for this overgrowth and for the fact that the articular surfacesare free, the condition might be confused with a diffuse tuberculosis. (SeeFig. 239 ) Thickening of the cortex and the deposit of bone beneath tJie periosteum arethe most characteristic and ccmmon evidences in the late heretlitary and inthe tertiary forms of the disease. The} give rise, for example, to the sabre-shaped tibiae seen clinically (Fig. 240). It is by no means rare to find along the shaft of this thickened bone smallareas of rarefaction with a cap of dense bone rising up o\-er them. The} havebeen well named by Codman bone blisters. 666 AMERICAN PRACTICE OF SURGERY.
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