File:A treatise on orthopedic surgery (1903) (14578203320).jpg

Identifier: treatiseonorth00whit (find matches)
Title: A treatise on orthopedic surgery
Year: 1903 (1900s)
Authors: Whitman, Royal, 1857-
Subjects:
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Tuberculous disease of the subastragaloid joint. In this form forced lateral motion of the os calcis causes dis-comfort, and the range of adduction and abduction of the footis restricted, while dorsal and plantar flexion may remain com-pletely free. Diagnosis. The principles of differential diagnosis of tuber-culous disease from other affections have been considered indetail in the description of disease of the spine and of the largerjoints. In childhood a chronic, painful disease confined to a singlejoint in which motion is limited by muscular spasm, and in Fig. 265.
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The epiphyses of the lower extremities at the age of six years, showing the effect of oper-ative removal of bone at the ankle-joint for tuberculous disease at the age of three years, incausing subsequent deformity of the foot and shortening of the limb. Ossification is presentat birth in the lower epiphysis of the tibia. It begins at the second year in the lowerepiphysis of the fibula, but not until the fifth year in its upper epiphysis. 44(3 ORTHOPEDIC SURGERY. which there is a tendency to deformity, is almost certainlytuberculous in character. In adult life also the same statement applies, and distinguishestuberculous disease from rheumatism, rheumatoid arthritis, or othergeneral affections. Forms of infectious arthritis may be differ-entiated by the history. Sprains or other injury may be distin-guished by the history of the onset and by the absence of localsigns of serious disease. In rigid flat-foot the symptoms are local-ized at the mediotarsal joint. It should be borne in mind,

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