. American quarterly of roentgenology . Fig. 1. Case 11. Tuberculous Osteomyelitis of Shaft of Tibia,ened periosteum and cortex with wavy outline of latter,volvement of epiphyses. Note thick-Almost no in- 1. Fig. 12. Tuberculous Osteomyelitis of Shaft of Tibia. Marked atrophyof both bones. Periosteum thickened and infiltrated throughout. Nu-merous small areas of necrosis. Epiphyses normal. 1 Hammond: Bone Tuberculosis 155 Roentgen examination: Marked atrophy of both bones. Per-iosteum thickened and irregularly infiltrated in places, but most-ly well-marked throughout. Periosteum general


. American quarterly of roentgenology . Fig. 1. Case 11. Tuberculous Osteomyelitis of Shaft of Tibia,ened periosteum and cortex with wavy outline of latter,volvement of epiphyses. Note thick-Almost no in- 1. Fig. 12. Tuberculous Osteomyelitis of Shaft of Tibia. Marked atrophyof both bones. Periosteum thickened and infiltrated throughout. Nu-merous small areas of necrosis. Epiphyses normal. 1 Hammond: Bone Tuberculosis 155 Roentgen examination: Marked atrophy of both bones. Per-iosteum thickened and irregularly infiltrated in places, but most-ly well-marked throughout. Periosteum generally thickened,mostly on the internal and posterior borders. Bone spottythroughout. Epiphyses normal. It may be argued in the above cases that the condition presentin the diaphyseal type is not due entirely to the tubercle bacillus,but is the result of secondary infection. As against this, it maybe said that the cultures from the pus showed no organisms,which is consistent with tuberculosis, and also careful patho-logical examination of the tissue showed only a tuberculousprocess. C onchisions: 1. Bone tuberculosis, when typical, is not difficult to diagnosein the Roentgen plate, especially when the cl


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