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While this disease is one of the rarest affecting the human skeleton, it has many interesting features and causes. The literature pertaining to it is indeed scarce, but few cases being reported, and those by Berg of Stockholm within the last year.
The principal causes assigned in the twenty-one cases referred to were syphilis, tuberculosis, typhoid fever and trauma. When once the cartilage becomes diseased there seems to be no remedy but complete removal and also a portion of its bony attachment.
The accompanying report of a case of traumatic enchondrosis illustrates the amount of destruction which may result from an injury to the perichondrium: H. M., age 37, white, American, received an injury to the right seventh costal cartilage on June 7,1895. An indurated mass appeared about one and a half inches to the right of the median line over the seventh costal cartilage. An abscess appeared which was
RICKETTS M. ENCHONDROSIS.. JAMA. 1896;XXVII(8):422. doi:10.1001/jama.1896.02430860026001i
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