File:American practice of surgery - a complete system of the science and art of surgery (1906) (14595744678).jpg

Identifier: americanpractice03brya (find matches)
Title: American practice of surgery : a complete system of the science and art of surgery
Year: 1906 (1900s)
Authors: Bryant, Joseph D. (Joseph Decatur), 1845-1914 Buck, Albert H. (Albert Henry), 1842-1922
Subjects:
Publisher: New York : W. Wood and company
Contributing Library: University of California Libraries
Digitizing Sponsor: Internet Archive

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
and number, and the skeleton at some pointundergoes a gradual deformation, as in the forearm, where the growths causea deviation of the hand toward the affected side, while the limb as a whole willoften be shorter than usual. Pain may be caused by friction of the muscleson the growths or by pressure on nerves, but this symptom is unusual. Fract-ure of a growth of the long branching variety may occur and is associated withmuch pain. Then, again, a trauma may excite an exostosis to rapid growth.The tumors, unlike the enchondromata, continue to grow until the formationof the skeleton is complete: after which they remain stationary, undergoing nochange during adult life. If one or more of the tumors should continue grow- TUMORS ORIGINATING IN BONE. 417 ing, this circumstance would warrant the belief that it is a chondroma and notan exostosis. Diagnosis.—The diagnosis is usually very evident, the main feature beingthe presence of multiple hard tumors in the neighborhood of the epiphyses
Text Appearing After Image:
Fig. 1S6.—Multiple Cartilaginous Exostoses. Shortening of the ulna with consequent bowing and dislocation of the radius. (Massachusetts General Hospital.) in young adults or children, associated with a certain degree of deformity. The.r-ray examination gives a typical picture and serves to exclude chondroma.The exostoses occurring in syphilis, infectious diseases, rarefying ostitis, osteo-vol. in.—27 418 AMERICAN PRACTICE OF SURGERY. arthritis, etc., arc fibrous, are not necessarily associated with the epiphysis,and occur later in life, and the etiology is usually evident. Prognosis.—The prognosis is good as regards life, but there is always thepossibility thai a chondroma or a chondro-sarcoma may develop. The progress of the disease cannot be arrested by any form of treatment;consequently the exostoses, if not removed, will continue to grow, and thedeformity will increase until the full growth of the body is Reached. The posi-tion of an exostosis may cause serious symptoms, as

Note About Images