. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . Fig. 3030.—Aukle-jolnt Disease at an Early Stage. metatarso-plialangeal articulation of the great toe takesjdace as a result of the distortion of the toe called hal- •116 , REFERENCE HANDBOOK OP THE IHEDICAL SCIENCES. lux valgus, or in-toe. the result of imperfect shoeing,and also secondarily to the alfection commonly knownas bunion. An ankylosis of this joint occurs in adoles-cents, being probably a sequela to a long-continued sub-. Fi(i, oiLl.—Tuljt
. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . Fig. 3030.—Aukle-jolnt Disease at an Early Stage. metatarso-plialangeal articulation of the great toe takesjdace as a result of the distortion of the toe called hal- •116 , REFERENCE HANDBOOK OP THE IHEDICAL SCIENCES. lux valgus, or in-toe. the result of imperfect shoeing,and also secondarily to the alfection commonly knownas bunion. An ankylosis of this joint occurs in adoles-cents, being probably a sequela to a long-continued sub-. Fi(i, oiLl.—TuljtTLUluus Pisfase of the Aukk-; Advanced Stage. acute inflammation. Nothing esjiecial need be said ofinflammations of the phalangeal articulation, except thatthey are not common. Diseases ok the Shoulder-Joint. — Chronic Tubercu-lous Ostitis. The general symptoms of ostitis of theshoulder differ in no way from those in the usual form ofthis disease in other more commonly affected joints; butstiffness at the joint is less noticeable on account of mo-bility of the scapula. The disease is insidious, extremelychronic, and decided impairment of the joint is certainto result. The earliest sign of this disease is pain, of adull aching character, which is usually aggravated atnight, and is referred either to the joint itself or to themiddle of the arm near the insertion of the deltoid. Inmany cases this symptom is al)sent or vcrj slight, and])r(ibably in these the origin of the disease is in the s_y-uovial meml)rane. About this time the patient is noticedto use the arm much
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