. Roentgen interpretation; a manual for students and practitioners . Fig. 77.—The same case as Fig. 76, two jears later. The process is now welladvanced and quite Fig. 78.—-The same case as Fig. 76, three years after the first oxainiiintion. Thedisease is now arrested. 104 JOINTS, TENDONS AND BURSM reduced to a thin pencilled white line. Enlargement and squaringof the epiphyses are seen and later more or less destruction of jointsurfaces, and interference with the growth of the bone. There isno new bone formation. The occurrence of periosteal reaction andbony ankylosis in these joint


. Roentgen interpretation; a manual for students and practitioners . Fig. 77.—The same case as Fig. 76, two jears later. The process is now welladvanced and quite Fig. 78.—-The same case as Fig. 76, three years after the first oxainiiintion. Thedisease is now arrested. 104 JOINTS, TENDONS AND BURSM reduced to a thin pencilled white line. Enlargement and squaringof the epiphyses are seen and later more or less destruction of jointsurfaces, and interference with the growth of the bone. There isno new bone formation. The occurrence of periosteal reaction andbony ankylosis in these joints is the result of secondary the process of repair there is increase in density due todeposit of lime salts. Caries sicca is seen most commonly in theshoulders in adults. It shows a chronic ragged erosion of thearticular surfaces, no soft tissue swelling, no effusion and nodecalcification.


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