[Skip to Content]
[Skip to Content Landing]
Article
April 1938

SIXTY-FIFTH REPORT OF PROGRESS IN ORTHOPEDIC SURGERY

Author Affiliations

BOSTON; CINCINNATI; NEW YORK; EDINBURGH, SCOTLAND

Arch Surg. 1938;36(4):705-722. doi:10.1001/archsurg.1938.01190220147010
Abstract

DEFORMITIES IN DEVELOPMENT 

Generalised Osteochondrodystrophy.  —In an attempt to secure a better classification of chondrodystrophies and osteochondrodystrophies, Hirsch1 quotes the classification suggested by Jaffe. The latter coins a new term, "eccentrochondroplasia," since the epiphysis in this condition develops not from a central nucleus but from multiple eccentric centers of ossification, as shown in roentgenograms. There are three stages in this disease: a latent stage, a florid stage and a stage of healing with its aftermath of deformity. Though the condition is not generally recognized until the child begins to walk, roentgenographic signs become apparent with the onset of ossification of the epiphysial cartilages. The visible signs of this condition are: thoracic kyphosis with prominence of the sternum, forward tipping of the pelvis, genu valgum and flat and everted feet. The roentgenographic signs are chiefly epiphysial changes associated with a malacia which produces a deformity in the size and shape

First Page Preview View Large
First page PDF preview
First page PDF preview
×