A treatise on orthopedic surgery . Normal tibia and foot. Osteitis deformans. Hyperostosisand decalcification. (Pitz.) Contrast with Fig. 345. SECONDARY HYPERTROPHIC OSTEOARTHROPATHY.^ Osteoarthropathy is an inflammatory disease of the bone char-acterized by hypertrophy, clubbing: of the fingers, and effusioninto certain of the joints. The hypertrophy is caused by a de-position of bone beneath the periosteum of the meta-carpal and metatarsal bones, the phalanges and the distal ex-tremities of the adjoining bones of the arms and legs. Lessoften the area of the disease is more extensiv


A treatise on orthopedic surgery . Normal tibia and foot. Osteitis deformans. Hyperostosisand decalcification. (Pitz.) Contrast with Fig. 345. SECONDARY HYPERTROPHIC OSTEOARTHROPATHY.^ Osteoarthropathy is an inflammatory disease of the bone char-acterized by hypertrophy, clubbing: of the fingers, and effusioninto certain of the joints. The hypertrophy is caused by a de-position of bone beneath the periosteum of the meta-carpal and metatarsal bones, the phalanges and the distal ex-tremities of the adjoining bones of the arms and legs. Lessoften the area of the disease is more extensive, involving thefemora, the humeri, and the sjDine even. Osteoarthropathy is usually a complication of pre-existing chronic disease, v^^hich causes interference with the circulation and which is accompanied by suppuration. Thus it is most often found in combination with disease of the lungs. The ^ Marie, Eevue M&dicale, Paris, 1890, x., p. 1. Bambtirger, Wiener , 1889, No. 11; Deutsche Chir., 1899, L. 28. Alexander,


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