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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d tissue.Fibrous tissue, generally loose and cellular, in in-stances more dense, is a conspicuous figure. . . .The giant cells, with their basophilic protoplasm,are I think safely to be regarded as destructive infunction. Sypmtomatology: Pagets disease is usually slowand insidious in its onset, so that the time of itsinvasion can be set only approximately. Pain mayor may not be present. The disease manifests itself essentially by thesephysical signs: The legs and thighs are bowed out-ward, the former also forward. The lower ex-tremities as a whole seem too large for the trunk.The spine possesses a long stiff anterior curvature,not unlike that of an ordinary spinal arthritis. The DISEASES OF BONES AND JOINTS 191 skull is enlarged, the head carried forward, and thehips widened. The bones of the arms and fore-arms may be affected, as a rule not so severelynor so early as are the bones of the lower extrem-ity. The skull and the tibiae are usually the firstbones to show the morbid changes.
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Fig. 80.Pagets Osteomyelitis (Osgood). Goldthwait, Painter and Osgood publish a skia-gram of a case in which the bones of the forearmwere affected. Some cases show a marked pre-ponderance of changes in the left side of the body.Arteriosclerosis is a frequent accompaniment. 192 DISEASES OF BONES AND JOINTS Roentgen rays show the thickened bones, thedistortions, and often the rarefied bony areas. Diagnosis: The identification of a typical case is Fractures Do usually easy. Milder cases may occasion confu- Not Occur sion for a while. The saber tibiae of congenital syphilis make their appearance in childhood. The peculiar changes in the other bones are not present in congenital syphilis. The fractures which are so frequent in osteo-malacia do not occur in Pagets disease, nor is thereany production of new bone at the periphery inosteomalacia. Prognosis: The disease may exist for a longtime, but is considered incurable. Death may bedue to some intercurrent disease, or, in a certainproportio

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