Diseases of bones and joints (1914) (14777796653)

Congenital syphilis of knee
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



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Fig. 40. Chronic gonorrheal arthritis in a supposedly tuberculous (pul-monary) patient. The diagnosis was based on the condition of theurethra and prostate, the multiarticular lesions, the reaction toappropriate treatment and the relation of the clinical picture tothe Rontgen ray findings. MorbidAnatomy Pathology. The synovia, after the early stageof proliferation, gradually undergoes a fibrous DISEASES OF BONES AND JOINTS 93 change, and the joint becomes a mass of adhesions.Probably the cartilage also becomes fibrillated in itsstructure. Just how much part the lymphoid mar-row takes in the process it is hard to say, owingto the difficulty of securing specimens with a definiteand complete history, but from skiagrams and from
Text Appearing After 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-