. American quarterly of roentgenology . acebetween the bones will appear less than it really is, a factfamiliar to all of you. In operations for straightening con-tractured joints, such as genuclasis, the thin, atrophic bonemay be readily fractured unless great care is used in hand-ling the genuclast. This difficulty is not usually experiencedin operations on infectious joints, such as the gonorrhealtype, because here the bone is thickened and eburnated, andpossesses much strength and elasticity. The hand betterthan any other joint illustrates the type of disease is affected early,


. American quarterly of roentgenology . acebetween the bones will appear less than it really is, a factfamiliar to all of you. In operations for straightening con-tractured joints, such as genuclasis, the thin, atrophic bonemay be readily fractured unless great care is used in hand-ling the genuclast. This difficulty is not usually experiencedin operations on infectious joints, such as the gonorrhealtype, because here the bone is thickened and eburnated, andpossesses much strength and elasticity. The hand betterthan any other joint illustrates the type of disease is affected early, and should be examined by the Rontgenmethod when there is any doubt as to the exact first row of phalanges first shows the characteristicchanges, but the other joints may be involved later. On the other hand, the hypertrophic form of chronic jointdisease is proliferative in nature, as its name indicates. Thebone is of good texture, and no atrophy is found unless themixed type is present. The bone may be denser than normal. Fig. 2 ATROPHIC ARTHRITIS Showing marked atrophy, some destruction of bone,and telescoping in some joints.


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