File:Traité de chirurgie clinique et opératoire (1896) (14749002386).jpg

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Identifier: traitdechirurg0096lede (find matches)
Title: Traité de chirurgie clinique et opératoire
Year: 1896 (1890s)
Authors: Le Dentu, Jean-François-Auguste, 1841-1926
Subjects: Surgery, Operative
Publisher: Paris, Baillière
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Fig. 129. — Gommes du crâne et de laface (musée de lhôpital Saint-Louis,malade de Lailler). (1; Perret, Ostéomyélite gommeuse des os longs, thèse de Paris, 1885. INFECTION SYPHILITIQUE DES OS. 615 leurs à la pression, de suppuration de la gomme osseuse; mais ilest des cas où aucun symptôme appréciable na précédé laccident quisurvient sans douleurs dans un simple mouvement délévation dumembre. Pour expliquer les fractures spontanées survenant à la périodetertiaire, les lésions dostéomyélite gommeuses suffisent, sans faireintervenir une atrophie spéciale du tissu osseux (Vénot). Les gommesétant circonscrites ou diffuses, on comprend que, dans le premiercas, elles peuvent évoluer sans se révéler par une tuméfactionextérieure. Dans le second, au contraire, elles augmentent le volume
Text Appearing After Image:
Fig. 130. — Tuméfaction gomméuse de lextrémité inférieure du second métacarpien(Taylor (de New-York)). de los, dont la surface se recouvre dostéophytes et dont le centresobserve et se raréfie en différentes places. Les examens chimiquesdu tissu osseux syphilitique ont démontré la disparition du fluorurede calcium (Gharpy). Los syphilitique est plus friable, il est vrai,même sans lésion apparente (Gharpy, Gangolphe). Les fracturesspontanées se consolident avec lenteur, la pseudarthrose est possiblela fracture peut même se reproduire. La suppuration a élé notée,exceptionnellement il est vrai, dans ces os longs, mais au niveau desos du nez ou de la voùfc palatine, les infections secondaires sontinévitables et déterminent une abondante suppuration avec nécrose,aplatissement du nez (nez camard, le nez en lorgnette, etc.). Les lésions de voisinage sont fréquentes dans le cas de syphilis desos du crâne, du rachis, du sternum, etc. ; nous ne pouvons lesindiquer ici

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  • bookid:traitdechirurg0096lede
  • bookyear:1896
  • bookdecade:1890
  • bookcentury:1800
  • bookauthor:Le_Dentu__Jean_Fran__ois_Auguste__1841_1926
  • booksubject:Surgery__Operative
  • bookpublisher:Paris__Bailli__re
  • bookcontributor:Columbia_University_Libraries
  • booksponsor:Open_Knowledge_Commons
  • bookleafnumber:658
  • bookcollection:medicalheritagelibrary
  • bookcollection:ColumbiaUniversityLibraries
  • bookcollection:americana
Flickr posted date
InfoField
29 July 2014

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