A treatise on orthopedic surgery (1910) (14780278551)

Identifier: treatiseonorthop1910whit (find matches)

Title: A treatise on orthopedic surgery

Year: 1910 (1910s)

Authors: Whitman, Royal, 1857-

Subjects: Orthopedics

Publisher: Philadelphia and New York, Lea & Febiger

Contributing Library: Columbia University Libraries

Digitizing Sponsor: Open Knowledge Commons

Text Appearing Before Image:

Tuberculous disease of the subastragaloid joint. In this form forced lateral motion of the os calcis causes dis-comfort, and the range of adduction and abduction of the footis restricted, while dorsal and plantar flexion may be unre-stricted. Astragalo-navicular Disease..—If the disease is limited to thejoint the foot is usually fixed in an attitude of persistent ab-duction and as the process is usually of the subacute type itmay be mistaken for rigid weak foot. Diagnosis.—The principles of differential diagnosis of tuber-culous disease from other affections have been considered indetail in the description of disease of the larger joints. In childhood a chronic, painful disease confined to a single Fig. 312.

Text Appearing After Image:

The epiyliyses of the lower extremities at the age of six years, showing theeffect of operative removal of bone at the ankle-joint for tuberculous disease atthe age of three years, in causing subsequent deformity of the foot and shorteningof the limb. Ossification is present at birth in the lower epiphysis of the tibia.It begins at the second year in the lower epiphysis of the fibula, but not untilthe fifth year in its upper epiphysis. DISEASES AND INJUBIES OF THE ANKLE-JOINT. 469 joint in which motion is limited by muscular spasm, and inwhich there is a tendency to deformity, is almost certainly tuber-culous in character. In adult life also the same statement applies, and distin-guishes tuberculous disease from rheumatism, arthritis de-formans, or other multiple joint diseases. Forms of infectiousarthritis may be differentiated by the history. Sprains or otherinjury may be distinguished by the history of the onset and bythe absence of local signs of serious disease. In weak or pain-f

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1910

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