A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . 3 Fig. 260. Atrophic arthritis, sometimes called Charcots disease, is an arthro-pathy occurring in connection with spinal sclerosis. It is dependentupon trophic changes dueto the pathological con-dition in the central ner-vous system. The affec-tion most commonly showsitself in the knee and ischronic in its course. Inthe beginning the symp-toms are like those ofrheumatoid arthritis; butthe more rapid meltingaway by retrogressive
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . 3 Fig. 260. Atrophic arthritis, sometimes called Charcots disease, is an arthro-pathy occurring in connection with spinal sclerosis. It is dependentupon trophic changes dueto the pathological con-dition in the central ner-vous system. The affec-tion most commonly showsitself in the knee and ischronic in its course. Inthe beginning the symp-toms are like those ofrheumatoid arthritis; butthe more rapid meltingaway by retrogressivechanges of the articularends of the bones, theabsence of ankylosis andthe evidences of locomotorataxia in the patient makethe character of the affec-tion evident. Theamount of locomotionwhich the patient is ableto obtain, notwithstand-ing the atrophy of theends of the bones andthe flail-like character ofthe distended joints, isoften remarkable. Treatment practicallyconsists in giving sup-port to the joint, since the condition is an irremediable one. Amputation above the atrophicjoint and the adaptation of an artificial limb might be considered inselected Atrophic arthritis or Charcots disease. (Authors case.) Neuralgic and Neurotic Joint Affections. These conditions are subjective disorders and are difficult to dis-tinguish from each other. They are more common in women than inmen. In painful joints of a neurotic character the pain of which thepatient complains is out of proportion to the other symptoms. Itmay be associated with voluntary or involuntary stiffness of the jointand slight swelling may occur from increased vascular tension in the-soft tissues. The anemia of the skin seen in hysterical affections willmore often perhaps render the surface of the joint pale. The pain ismore liable to change its position than in cases of inflammation and alocal or general hyperesthesia of the skin will not infrequently be 494 DISEASES OF JOINTS, CARTILAGES AND LIGAMENTS. presen
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