CHONDRODYSTROPHY 



487 



however, the epiphyses may close abnormally late. In the seventeen-year- 

 old case I shall report later, the distal epiphysial junctures of the radius 

 and ulna, and the proximal of the 

 first metacarpal and phalanges are 

 as yet wide open, so that exami- 

 nation of the accompanying X-ray 

 picture will show that the head of 

 the metacarpal bone is swollen 

 out, extremely coarse, and that 

 the epiphyses are well developed, 





FIG. 8<>. Chondrodystrophy (Observation 

 LXII). 



FIG. 87. Chondrodystrophy (Observation 

 LXIII). 



and in part for example those of the radius misplaced. Hyperplastic and 

 hypoplastic processes may often be seen in the same skeleton. 



There have also been described cases of partial Chondrodystrophy. 



