Identifier: diseasesofbonesj00elyl (find matches)
Title: Diseases of bones and joints
Year: 1914 (1910s)
Authors: Ely, Leonard Wheeler, 1868-
Subjects: Bones Joints Diagnosis, Radioscopic Bone Diseases Joint Diseases Radiography
Publisher: New York : Surgery Publishing Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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of local pain maybe the only thing to call attention to the growthuntil suddenly a spontaneous fracture awakens asuspicion of its true nature. A parchment-likecrackle has been described as palpable over thegrowth in some instances. Bone sarcoma is seenmost frequently among adolescents and youngadults. The Roentgen rays show a rarefaction of thebone, and sometimes a proliferation of bone at thecircumference. Diagnosis. Suppurative osteomyelitis is usuallyaccompanied by marked constitutional disturbancesand is rapid in its course. The circumscribed forms DISEASES OF BONES AND JOINTS 215 may lack these characteristics, but their very cir-cumscribed nature itself will differentiate them fromsarcoma. Bone syphilis may imitate sarcoma closely, notonly in its symptoms but also in the Roentgen pic-ture. Other signs of syphilis, and the reaction toanti-syphilitic treatment will clear up the doubt. Spontaneous fracture occurs quite frequently inthe osteopathy of tabes dorsalis. A search for the
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Fig. 93. Skiagram of bone shown in Fig. 6. Diagnosis, sarcoma. symptoms and physical signs of this disease willmake the nature of the process evident. The bonelesions of tabes are almost invariably painless.Benign Myeloma. From the fact that this disease 216 DISEASES OF BONES AND JOINTS has been included hitherto with sarcoma, the differ-ential diagnosis is still somewhat obscure. It usuallyoccurs in the metaphysics of the long bones. Egg-shell crackling is frequent over it. It is prob-ably slower in its growth than is sarcoma, anddoes not break through into the surrounding tissues

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