Identifier: americanpractice03brya (find matches)
Title: American practice of surgery : a complete system of the science and art of surgery
Year: 1906 (1900s)
Authors: Bryant, Joseph D. (Joseph Decatur), 1845-1914 Buck, Albert H. (Albert Henry), 1842-1922
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Publisher: New York : W. Wood and company
Contributing Library: University of California Libraries
Digitizing Sponsor: Internet Archive

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Fig. 240.—Front View of the Same Case (see Fig.239). (Original.) 542 AMERICAN PRACTICE OF SURGERY. In this case, thou, we have evidence of a diffuse syphilitic involvement ofthe synovial membrane in the pre-Charcol state, a process which we have seenin other cases where there was no involvement of the central nervous systemwith syphilis. It is probable that the syphilitic vims or toxin was capable ofinducing a villous arthritis in the same way that any toxin is capable of in-ducing a villous change in the synovial membrane when it lias access to thejoint; and such facts should emphasize the necessity for careful search for
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Ik,. 241.—Syphilitic Lesions of the Knee Joint. In the radiograph the destruction in the carti-lage inn! the absorption of the trochlear surfaces are very well shown. (Original.) evidences of central-nervous-system involvement in cases of monarticular ar-thritis of the villous type. It may be that more of these cases are syphiliticthan we now believe, and that a certain number of them may have concomitantcord lesions that are due to the same infection and that are sufficiently far ad-vanced to be detectable upon careful observation. If such conditions could be recognized, operative surgery would of coursenot be undertaken, as doubtless the internal administration of potassium iodideand inunctions of mercury would have caused the villous change in this articu-lation to have disappeared quite as readily as did the knife, and more perma- NON-TUBERCULOUS INFLAMMATIONS OF JOINTS. 543 nently. As our knowledge of the various possible manifestations of syphilisenlarges, we should hold ourse

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