In periostitis, as well as in osteomyelitis, the skiagraphic signs are well marked. Abscesses can not only be localized, but their extent is so well outlined that the technical steps of the operation can be definitely traced in advance. The feeling of security the surgeon has while proceeding under the mentorship of the skiagraph gives a satisfaction unknown in former years, when often the whole femur had to be exposed simply in order to ascertain whether all foci were detected. If the Roentgen rays show but one focus, no other regions of the bone need be attacked.
In such cases a preceding trauma often opens the avenue of infection. The pain, the edema, the fever, and general debility may be sometimes so little marked that differentiation becomes difficult. The skiagraph not only clears this difficulty of diagnosing this disease, the true etiology of which is still so obscure, but it
BECK C. THE ROENTGEN RAYS: IN DIFFERENTIATING BETWEEN OSTEOMYELITIS, OSSEOUS CYST, OSTEOSARCOMA AND OTHER OSSEOUS LESIONS, WITH SKIAGRAPHIC DEMONSTRATIONS. JAMA. 1902;XXXVIII(1):28–33. doi:10.1001/jama.1902.62480010028001i
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