The classification and treatment of diseases commonly known as rheumatism / by Frank E. Peckham.

  • Peckham, Frank E.
Date:
1910
Catalogue details

Licence: Public Domain Mark

Credit: The classification and treatment of diseases commonly known as rheumatism / by Frank E. Peckham. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

    14/120 (page 8)
    nated feet aud is mostly seen in women. It is not so often seen in men. Women, unless inclined to be thin or of a spare type, are apt to have a more or less fleshy thigh. It may be observed that when such patients stand with inner surface of knees just in contact, the inner malleoli will be separated, some slightly and some quite markedly. In other words, there is some degree of knock knee. This means that there is more or less of a strain on the knee joints, this strain either from pronated feet alone or in conjunction with the above condition of slight knock knee, becoming an etiological factor. A demonstration of the strain of a knock knee causing a villous arthritis has occurred in a very marked manner in two cases coming under the observation of the writer. A young married woman had only one very marked knock knee and the knee on that leg had given trouble for years, at times swelling up and becom- ing tender and painful. Rest and local applications had quieted it each time but it gradually became en- larged so that it was never normal in size and was con- stantly grating and creaking and remaining always tender and boggy and much larger than the other knee. A second case occurred almost exactly like it in a man of middle age. The knee had given him more and more trouble until he was willing to do anything for relief. Where there is tenderness and pain and numb- ness around the knee and particularly on the inner side and often in addition about the ankle and anterior part