The American journal of roentgenology, radium therapy and nuclear medicine (1906) (14757543905)

Identifier: americanjournroen07ameruoft (find matches)
Title: The American journal of roentgenology, radium therapy and nuclear medicine
Year: 1906 (1900s)
Authors: American Radium Society American Roentgen Ray Society
Subjects: Radiotherapy X-rays
Publisher: Springfield, Ill. C.C. Thomas
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto



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ig. I. Case I. October 1916. Left hip: Two yearsduration. Shows a very much flattened and thinnedepiphysis which appears to be divided into severalpieces. Neck much thickened. slis^ht shortening; motion noticeablv limitedin abduction, but no muscular spasm. Sixmonths ago the mother became alarmed overthe perccptilile muscular atrophy of tlie leftthigh and leg. Fell from a tree a short timebefore the limp first attracted attention.Roents:enoQ:ram shows the characteristic Thesis presented with arpicatinn for membership in The American Roentgen Ray Socisty, 1919. 347 548 Osteochondral Trophopathy of the Hip Joint changes all present at the first examinationand are probably terminal. Case came underobservation but once. Case II. Z. S. Girl, eight. December, 1916,right hip. Always very healthy but has mod- amount of flattening of the epiphvsis. Thereis no noticeable limp. Case III. S. P. Boy (Slavish parentage)eleven. May, 1917, right hip. Symptomshave been of one vears duration. Poor his-
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FiG. 2. C.\SE II. December, 1916, right hip; twelveweeks duration. Shows lessened density on theshaft side of the epiphyseal line. erately enlarged tonsils. For the past tenweeks has had a limp after prolonged effort.For two weeks pain at night in thigh abovethe knee verv severe. Never seems to havehad any fever. Had a hard fall when a babybut no knowledge of any traumatism since.Roentgenogram at this time shows lesseneddensity of the neck along the epiphyseal lineand lack of definiteness of the line. Thesefindings were not fully appreciated at thistime and it was thought that this was a caseof early tul^erculosis of the hip-joint in whichthe bonv changes had not yet becomeapparent. Second .r-ray examination, October, 1917,shows the classical changes all present now.The epiphysis is much flattened and of ir-regular density, the articular space appar-ently enlarged and marked hypertrophy ofthe neck. Third examination, April, 1919, shows theterminal stage. There has been no furtherchang