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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g bones, or the joint itself may be primarily implicated. In most instances the joint affections of syphilis are explainedby the history and by the other signs of syphilitic disease. Spinaventosa ; Fig. 165), which is classed as one of the evidences ofsyphilis, is far more commonly of tuberculous origin, as is illus-trated by the statistics of Karewski,1 of 157 cases, in which butthree were due to syphilis. Syphilitic disease of the joints is uncommon in orthopedic Chlr. Krank. des Kindesalters. XOX-TUBEBCULOUS DISEASES OF THE JOIXTS. 265 clinics as compared with those of tuberculous origin. This is asmight be expected, for not only is tuberculosis far more commonthan syphilis, but a very large proportion, according to Fournier,77 per cent., of the syphilitic children are stillborn or dieshortly after birth. Even in those that survive, disease of thebones or joints in the form that could be confounded with tuber-culosis, is uncommon as compared with its other manifestations. Fig. 164.
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Syphilitic osteoperiostitis of the tibiae resembling anterior bow-leg. This is the mostcharacteristic manifestation of hereditary syphilis. Treatment. Some writers consider hereditary syphilis to be avery important predisposing cause of tuberculous disease, and be-lieve that many cases classed as tuberculous are in reality syphilitic,even if no history or confirmatory signs of syphilis are present.There is no reliable evidence to support this view. The possibilityof the syphilitic taint, remote or direct, should be borne in mind,and in doubtful cases appropriate remedies should be employed. In general, the treatment of the joint affection would be 266 ORTHOPEDIC SmoKRY. included in the appropriate treatment of the disease of which itis a complication. If the joint is involved in a destructiveprocess appropriate apparatus to insure rest and protection isindicated. The removal of irritative disease in the neighborhood Fig. 165. Fig. 166.

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