File:American practice of surgery - a complete system of the science and art of surgery (1906) (14595906579).jpg

Identifier: americanpractice01brya (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
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Publisher: New York : W. Wood and company
Contributing Library: University of California Libraries
Digitizing Sponsor: Internet Archive

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Fig. 252.—Medullary Sarcoma of the Tibia, of the Myelogenous or Giant-celled Variety. Markedcystic formation in the upper part of the tibia. (Original.) 670 AMERICAN PRACTICE OF SURGERY. infection. They are most characteristic in the a:-ray as well as in their clinicalbehavior. The instability of the part and the frequent tremor which sets inwhen an attempt at fixation is made, render it difficult to obtain clear radio-graphs, WTien they have been successfully taken they show great disorganiza-tion of the joint, with more or less destruction of large portions of the articularand juxta-articular bone, and the presence, in the joint, of apparently loosemasses of detritus often containing lime salts.
Text Appearing After Image:
Fig. 253.—Osteo-sarcoma andOsteitis Deformans. Periosteal sarcoma developing in a very advancedcase of osteitis deformans (well seen in tibia). Sarcoma involves lower end of femur and poplitealspace. (Original.) The boggy-feeling joint often gives a foggy-looking radiograph (Figs. 247 and24S). Syphilitic dactylitis perhaps deserves a separate heading. So far as ourobservation goo.s, it is not a difficult matter to confuse the disease withtuberculosis. The distinguishing features are: in syphilis there is lessatrophy of structure and the articular surfaces are less often involved. If THE INTERPRETATION OF RADIOGRAPHS. 671 loss of substance occurs, the bone ulcer will present clear edges and a punched-out appearance fFig. 246). A tuberculous dactylitis is by far the commonerform. Exostoses or Osteomata, and Exchoxdro.mata. These conditions need little experience for their interpretation, since skia-graphs taken in different planes will usually definitely locate and determinethe size o

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