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Article
September 1938

BEHAVIOR OF JOINT CARTILAGE IN LATE RICKETSCONTRIBUTION TO THE QUESTION OF ATROPHY OF CARTILAGE

Author Affiliations

LOS ANGELES
From the Orthopedic Department, College of Medical Evangelists.

Arch Surg. 1938;37(3):470-489. doi:10.1001/archsurg.1938.01200030119007
Abstract

Considerable work has been done to clarify the morphologic changes of the zones of enchondral growth in patients with rickets, and hardly anything new can be added. However, investigators doing such work have paid little attention to the behavior of joint cartilage, although one might think that a number of biologic questions concerning joint cartilage might be answered by such study. I mean, especially, the still debated question of the importance of enchondral ossification of joint cartilage for the growth of the epiphyses, and also the question whether simple atrophy of cartilage may occur. It is clear that simple rickets as it occurs in earliest childhood can hardly be of use for the study of joint cartilage, because the cartilage has not fully developed; the thick cartilage cap still completely surrounds the bony epiphysis. On the other hand, reports of careful anatomic examinations of patients with late rickets, in whom

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