. Diseases of bones and joints . al Journal, 1901, CxLV. 593. Nichols and Richardson, Journal of Medical Research,1909, XXI. 150. Erving, Philip. American Medicine, 1903, VI. 440. Onthe Condition of the Blood in Rheumatoid Arthritis andOsteoarthritis. Sachs and Fraenkel, Journal of Nervous and MentalDiseases, 1900, XXVII. 1. Progressive Ankylotic Rigidityof the Spine (Spondylose Rhizomelique). Marsh, Howard. British Medical Journal, 1895, II. the Pathology and Clinical History of Some RareForms of Bony Ankylosis. Rhein. Journal of the A. M. A., Aug. 8th, 1908. Beitzke, Zeitschr. f. kli
. Diseases of bones and joints . al Journal, 1901, CxLV. 593. Nichols and Richardson, Journal of Medical Research,1909, XXI. 150. Erving, Philip. American Medicine, 1903, VI. 440. Onthe Condition of the Blood in Rheumatoid Arthritis andOsteoarthritis. Sachs and Fraenkel, Journal of Nervous and MentalDiseases, 1900, XXVII. 1. Progressive Ankylotic Rigidityof the Spine (Spondylose Rhizomelique). Marsh, Howard. British Medical Journal, 1895, II. the Pathology and Clinical History of Some RareForms of Bony Ankylosis. Rhein. Journal of the A. M. A., Aug. 8th, 1908. Beitzke, Zeitschr. f. klin. Medezin, 1912, LXXIV. 215. Billings. Archives of Internal Medicine, April, 1912,Journal of the American Medical Association, 1913. Rosenow, Journal of the American Medical Association,1913, LX. 1223. Journal of Infectious Diseases, 1914, and 61. 150 DISEASES OF BONES AND JOINTSCHARCOTS JOINT. TABETIC OR NEUROPATHIC JOINT. In the course of certain spinal diseases, notablytabes dorsalis and syringomyelia, a peculiar form. Fig. 62. Charcots Joint. T, T, T, bone trabeculae, M, M, marrow F,fibrous tissue at joint surface. The articular cartilage has completely-disappeared. Low power photomicrograph. of joint lesion occasionally is seen, that has baffledall attempts at explanation. Charcot, who first de-scribed it, thought it was due to a lesion of the DISEASES OF BONES AND JOINTS 151 trophic centers in the anterior horns of the spinalcord; Virchow, Von Volkmann and others main-tained that it was simply a form of arthritis de-formans modified by the traumata incident to thelack of sensation produced by the nerve again say that the anesthesia alone is re-sponsible. Until more light is thrown on the subject we arefree to hold any opinion that seems to us most ra-tional. For myself, I prefer to regard the disease,as I regard other joint diseases, as primarily a lesionof the lymphoid marrow and synovia, probably pro-duced by the late syphilitic toxines. A similar
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