Modern surgery, general and operative . continues masses form aroimd the articular ca^-ity, in the ligaments, and in thecartilages. The bones and cartilages are rapidly destroyed and absorbed;fracture is apt to occur; the jouit creaks and grates; the softening and relax-ation of the Hgaments permit an extensive range of movement; great deform-ity ensues; dislocation is apt to occur; muscular atrophy is decided, andpus occasionally, though verv* rarely, forms. There is sometimes, but seldom,repair. Charcots joint differs from rheimiatoid arthritis in the usual acuteonset and the


Modern surgery, general and operative . continues masses form aroimd the articular ca^-ity, in the ligaments, and in thecartilages. The bones and cartilages are rapidly destroyed and absorbed;fracture is apt to occur; the jouit creaks and grates; the softening and relax-ation of the Hgaments permit an extensive range of movement; great deform-ity ensues; dislocation is apt to occur; muscular atrophy is decided, andpus occasionally, though verv* rarely, forms. There is sometimes, but seldom,repair. Charcots joint differs from rheimiatoid arthritis in the usual acuteonset and the painless course. The complete or nearly complete freedomfrom pain is one of the most striking features of the condition. In sajdng thereis freedom from pain we mean freedom from pain in the joint, from the painand tenderness in the regions in which we expect to find them in an inflamedjoint. Usually these patients, though free from pain in the joint, suffer muchfrom the Hghtning pains of locomotor ataxia. Gastric crises are not uncom-. 91.—Charcots joint. 644 Diseases and Injuries of the Bones and Joints


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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery