File:American quarterly of roentgenology (1909) (14757430955).jpg

Identifier: americanquarterl02amer (find matches)
Title: American quarterly of roentgenology
Year: 1909 (1900s)
Authors: American Roentgen Ray Society
Subjects: Nuclear Medicine Radiography Radiology Radiology
Publisher: Pittsburgh : American Roentgen Ray Society
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities

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or epiphyses of bone.Carletons spots.—These spots are always intra-osseous, K IS Broadway, New York City. DISCUSSION. DR. PERCY BROWN. BOSTON, MASSACHUSETTS. One cannot help but be impressed with the beauty of thelesions as presented in the epiphyseal ends- of certain longbones, especially, as I remember, with regard to the shoulderjoint. Dr. Diefenbachs presentation of these pathologic sit-uations affords an opportunity for a consideration of a sub-ject which I believe we are just opening up, and which, there-fore, presents the greatest possibilities from a diagnostic pointof view, especially with regard to methods. As I view thesituation, 1 am convinced that an intelligent use of the Roent-gen ray will be of much assistance in depicting the pathologyof certain inflammatory diseases of bones and joints. Taking up certain points mentioned by Dr. Diefenbach, Iwish to refer first to syphilitic invasion of the long bones. Ibelieve he correctly described the luetic involvement of these
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Fig. 14—Gonorrhoeal arthritis. Diefexbach : X-Ray Diagnosis L7I bones as a cloaking. I have not heard that term before, butit seems to be particularly apt. It also seems to me that thedistribution of this cloaking- is quite characteristic, to-wit:the cloaking, or, as I call it, the infiltration of the medullarycavity, has a peculiar appearance in syphilis. For instance,over a certain area you will find the medulla completelysclerosed; and above and below this, it is not so. In the shaftof the long bones the appearance is that of the stories of abuilding. I attempted to present this characteristic beforethe Society in a paper I read on syphilis of bones at theNiagara Falls meeting. Another condition not mentioned by Dr. Diefenbach inwhich the X-ray has given us a true and elaborate picture isthat of the so-called Charcots joint. Dr. Diefenbach showedone joint in connection with luetic invasion. I would like toask him whether he recognized in that joint any of the appear-ances charact

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