Diseases of bones and joints (1914) (14755575964)

Syphilis of the knee of a child

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. 41. Hereditary syphilis of the knee joint of a child after treatmentfor two years with a diagnosis of tuberculosis, lateral view. Notethe diseased tibial epiphysis, and the productive osteitis of thefemur shaft about four inches above the joint. bacteriological examination of material removed atoperation, it is evident that the inner layer of theperiosteum reacts to the disease, and produces apicture hardly to be distinguished from tuberculosisor from the other diseases of Type I. 94 DISEASES OF BONES AND JOINTS Symptomatology. The joint is shrunken andSymptoms stiff, and, as long as the morbid process is stillactive, painful. When the disease has reached itslogical outcome—complete stiffness—the pain dis-appears. While a moderate degree of deformitymay be present, the extreme contractures so char-

Text Appearing After Image:

Fig. 42. Same case as Fig. 41, antero-posterior view. acteristic of joint tuberculosis are not seen. Thisis what one would expect in a disease so largelysynovial and with so little destruction of bone. Themuscles of the limb are atrophied. The joints mostfrequently involved are the knee, the foot (not thetoes), and, in women, the wrist. DISEASES OF BONES AND JOINTS 95 From the absence of bony outgrowths (usually),from the appearance of the skiagram and of the Diagnosisjoint itself, and from the history, it is usually easyto determine that the disease belongs in Type I.To determine the exact nature of the process may

diseases of infancy and childhood 1914 x rays of syphilis book illustrations medicine medical illustrations medical history x ray surgery tuberculosis infectious diseases diseases images from internet archive

1914

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