. Journal of Radiology . e ha osservato un'artrite gon-orrheal si estende all'osso vicino-ing e produce osteomielite tipica. In questo caso, apparentemente, un'infezione gonorrhoea aveva dato un riseto ad una periodite ossificante di un carattere così in-sidious che ci erano nosomi fino a tre mesi prima che i raggi X fossero presi. La clinicalpicture era quella di un'anca orbloccante a scatto e poteva essere facilmente ex-plained da un certo movimento nel hip-jointaeyond il grado usuale che im-pinged su un'area di nuova boneformation. Risultato. (Marzo 1922, osservazione di sei monthssin). Come il paziente ha camminato
1274 x 1961 px | 21,6 x 33,2 cm | 8,5 x 13,1 inches | 150dpi
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. Journal of radiology . e observed a gon-orrheal arthritis extend to the neighbor-ing bone and produce typical osteo-myelitis. In this instance, apparently, a gonorrheal infection had given riseto an ossifying periostitis of such an in-sidious character that there were nosymptoms until three months beforethe x-rays were taken. The clinicalpicture was that of a snapping orlocking hip and could be easily ex-plained by some motion in the hip-jointbeyond the usual degree which im-pinged upon an area of new boneformation. Result. (March, 1922, six monthssince observation). As the patient haswalked with a cane and has avoidedall extreme motions in the hip, therehave been no further attacks of pain, but he is conscious of discomfort. Arecent x-ray has been taken, but hasnot yet been received here. I have reviewed all my cases ofgonorrhoeal infection of joints andbones of which I have x-rays—somefifty cases in all—and find nothingidentical with this. I do find ossifying INFECTIOUS OSSIFYING PERIOSTITIS—BLOODGOOD. Figure VI.—Case II.—Pathol. No.28771. Infectious ossifying1 periosti-tis associated with gonorrhoea. periostitis in conjunction with gonor-rhoeal arthritis, but none with an un-involved joint as in this instance. Case 3—(Pathol., No. 29084, J.C.B. 10978). First observed Octo-ber 29, 1921. This patient. Dr.L.A.W., was not seen by me, but hishistory and x-ray were referred to meby Dr. Walter A. Calihan of Roches-ter, N. Y. It is an infectious ossifyingperiostitis of the upper shaft of thefemur not involving the neck, and ap-parently due to foci of the infection inthe teeth. Fig. 8 is the x-ray. As com-pared with Fig. 6 it shows chieflv thick-ening of the cortical bone beginning atboth trochanters and extending downthe shaft. This thickening shows both, dark and light areas. The marrowshadow is but slightly changed. Thereis no marked evidence of recent boneformation. It suggests an old affair.
