American practice of surgery - a complete system of the science and art of surgery (1906) (14759578426)

Identifier: americanpractice01brya (find matches)

Title: American practice of surgery : a complete system of the science and art of surgery

Year: 1906 (1900s)

Authors: Bryant, Joseph D. (Joseph Decatur), 1845-1914 Buck, Albert H. (Albert Henry), 1842-1922

Subjects:

Publisher: New York : W. Wood and company

Contributing Library: University of California Libraries

Digitizing Sponsor: Internet Archive

Text Appearing Before Image:

ithout the accompanying cortical thickening.This cortical thickening is usually more marked along one side of the bone, oftenencroaching on the medullary cavity. The differentiation from an old osteo-myelitis, by means of the negative alone, may be difficult, and not a few casesof Pagets disease, or of osteitis (l(>formans, have been diagnosed as of a syph-ihtic nature from the presence of this cortical thickening. Pagets disease is 668 AMERICAN PRACTICE OF SURGERY. rarely confined to one bone except in the earliest stages; syphilitic diseaseoften is. The areas of rarefaction connnonly observed in osteitis deformansare not characteristically seen in this type of specific lesion. The bone giunniata observed in the tertiary stage of syphilis arc both super-ficial and deep, the former occurring l)etween the bono and the )ioriosteum andcausing ulceration of the cortex. These gunnnata may occur side by side, or theymay merge the one into the other through radiating connecting bands. The

Text Appearing After Image:

Fig. 250.—Exostosis of Femoral Shaft. Osteoma spongiosum. Structure of .soft parts well shomi. (Original.) deep giuiimata may occur in any part of the bone and may lead to fracture.The new bone thrown out on the side of the cortex next the lesion may be ofivory-like hardness, casting a very dense shadow (Figs. 242 and 243), In diffuse syphilitic osteomyelitis the bone may be doul)led or tripled involunu\ with uuukm-ous osteophytes (Fig. 244 and 245). Charcots or tabetic joints should probably be looked upon as true artlirop-athies of perhaps neuropathic origin, rather than as evidences of active specific THE INTERPRETATION OF RADIOGRAPHS. 669

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1906

University of California

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