Diseases of bones and joints (1914) (14571264869)

Identifier: diseasesofbonesj00elyl (find matches)

Title: Diseases of bones and joints

Year: 1914 (1910s)

Authors: Ely, Leonard Wheeler, 1868-

Subjects: Bones Joints Diagnosis, Radioscopic Bone Diseases Joint Diseases Radiography

Publisher: New York : Surgery Publishing Company

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

Text Appearing Before Image:

Fig. 44. Syphilis of the wrist, erroneously treated as tuberculosis. Ob-serve the stump of the amputated finger. For a full descriptionof this case, see Medical Record, 1912, LXXXI, 1179. Skiagramtaken Sept. 6, 1910. might have a tuberculous joint, or that a patientwith pulmonary tuberculosis might have a gonor-rheal arthritis (see Fig. 40), or that even a childmight quite innocently have a gonorrheal joint.Syphilitic arthritis can often be diagnosed only by DISEASES OF BONES AND JOINTS 97 finding some other evidence of syphilis in the body,by the presence of a broken-down gumma in thebone end (chronic gonorrheal arthritis probablynever ends in suppuration unless as a result of op-eration) by the Wasserman reaction, or eventuallyby a therapeutic test.

Text Appearing After Image:

Fig. 45. Same case as Fig. 44. Skiagram taken Feb. 7, 1911. Note theimprovement under constitutional treatment alone. This neveroccurs in adult joint tuberculosis. Treatment. The first requisite is to set the gen-ito-urinary tract in order. After this is done, mo-bilising operations may be done if necessary, butuntil the source of infection is removed, it is evi-dent that any attempts at mobilisation will only Treatment 98 DISEASES OF BONES AND JOINTS Passive Motion aggravate the joint trouble. Perhaps the wisestcourse is to begin with vigorous manipulation underan anesthetic, and then to fix the joint with plasterof Paris in an entirely different attitude until theinflammatory reaction has subsided, when gentle

Krankheiten des Säuglings- und Kindesalters 1914 Röntgenstrahlen der Syphilis Buchillustrationen Medizin medizinische Illustrationen Krankengeschichte Röntgen Operation Tuberkulose Infektionskrankheiten Krankheiten Bilder aus dem Internetarchiv

1914

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