Buffalo medical journal (1905) (14597382717)

Identifier: buffalomedicaljo6119unse (find matches)
Title: Buffalo medical journal
Year: 1906 (1900s)
Authors:
Subjects: Medicine
Publisher: Buffalo, N.Y. : (s.n.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities



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racter, and the villi formed give rise to tabs, which mayproject into :he joint and become detached, consequently actingas foreign bodies,—Joint )\Iice. The fluid in the joint may benormal or in excess. The process is not migratory but may existsimultaneously in more than one joint, • 336 meisenbach: non-tubercular joint lesions. Villous Arthritis may be due to joint strain or to general dia-thesis ; often flat-foot and genu valgum or any other joint strainare the causes, but more frequently a general lowered vitality ofthe individual. The treatment is early stimulation, locally, with partial fixationof the joint by a bandage, and if symptoms of synovial changesare present, or if the condition is due to faulty attitude, operationor the correction of the faulty attitude, offers immediate relief. The second type. Atrophic or Rheumatoid Arthritis, is, as itsname implies, chiefly characterised, pathologically, by earlyatrophy of the articular and periarticular structures. It is a pro-
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Fig, I. Atrophic Arthritis: Showing: apparent swelling:, but real atrophy and telescop-ing: of the metacarpo-phalan8:eal joints. gressive disease, first attacking one joint, or a group of joints,and then involving others. Although its etiology has not yetbeen definately determined, it seems, from my observationsin large clinics, that it coexists with nervous exhaustion and hasa predilection for the female sex from sixteen years upward.The disease is ushered in by an early swelling of the affectedjoints with a subsequent early atrophy of the articular cartilagecells, which, as the swelling subsides, becomes marked. At firstthe articular cartilage cells atrophy, later the bones, especially thearticular ends and shafts, and finally the soft structures aroundthe joints (Fig. 2) ; even the skin over the joint, which appearsglossy, has undergone atrophy (Fig. 1). Villous Arthritis often MEISENBACH: non-tubercular joint J.ESIONS. 337 accompanies the early stage of atropic arthritis and as a