File:Interstate medical journal (1909) (14597232579).jpg

Identifier: interstatemedica1619unse (find matches)
Title: Interstate medical journal
Year: 1909 (1900s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
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

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:
, which were afterwards shown to be cases ofosteo-malacia. Pagets original article appeared in 1876, but it was oneyear later that he gave us our first clear, clinical picture. It is thoughtthat there are sixty-seven genuine cases reported in the literature, thisone making the sixty-eighth. The etiology of the disease is unknown. The disease begins as a chronic rarefying osteitis, in which the normalcompact tissue becomes finely porous; fresh bone is formed beneath the *Read before the Society of City Hospital Alumni, Oct. 19, 1908. 562 INTERSTATE MEDICAL JOURNAL periosteum, and finally, in the later stages of the disease, undergoeshypertrophy and partial sclerotic changes. These two conditions,osteo-porosis, and osteo-sclerosis, exert considerable influence in bringingabout the deformity of the long bones, although we must not forget theeffect of gravity and weight on the already weakened bones. As arule, there is no joint involvement. Well marked arterio-sclerosis isusually present.
Text Appearing After Image:
SKIAGRAPHS. Joncheray distinguishes two varieties of the disease, one painless andthe other painful. The contour of the patient is changed and he exhibitsa peculiar mode of locomotion. He is decreased in stature, the head isadvanced and lowered, so that the chin is below the top of the sternum.The chest becomes contracted, narrow, flattened laterally and deep from HEWITT: OSTEITIS DEFORMANS 563 before backwards. The arms appear unnaturally long; the skull is in-creased considerably in thickness for which reason the patient states thathis hat is too small for him, and that he has been compelled to buy onea size larger. The shafts of both tibiae and femora are bent so that thepatient becomes bow-legged. The tibia or femur may be bent anteriorlyor laterally, and the vertebral column presents abnormal curvatures. Ifthe bones of the arm and chest are involved, the patient may be round-shouldered. Often these patients present a dwarfed appearance. Theabove description is of a well-advanced

Note About Images