DISEASES OP ARTICULATIONS 201 



of the cuneiform medium and magnum and metatarsus ; this 

 osteitis by contiguity involves the articular cartilage in the 

 inflammatory process, and a chondritis — that is, inflamma- 

 tion of the cartilage — with subsequent proliferation of the 

 cartilage cells, softening, etc. , results, "which now leads to a 

 chronic deforming arthritis. Another way is this : There is at 

 first an osteitis of the cuneiform medium and magnum, the 

 overlying periosteum inflames and ossifying periostitis with 

 its product, an exostosis — that is, the visible spavin with 

 anchylosis of the articular surfaces — follows. The correctness 

 of Gotti's claims have stood the tests of repeated investigations, 

 also aided by the fact that in ma'ny spavins both the articular 

 cartilage and periosteum are normal. The above applies 

 equally well to ringbones. In periarticular ringbones no 

 arthritis at all is present, but we have to do with an ossifying 

 periostitis, the latter taking its origin at the point of insertion. 

 of the phalangeal ligaments. 



How do you treat arthritis deformans ? 



By rest, blisters and the actual cautery. 



Of less importance from a surgical standpoint are the fol- 

 lowing forms of arthritis : 

 Describe fibrinous arthritis {arthritis fibrinosa). 



The serous exudate in this form of arthritis contains an 

 excess of fibrin, as a result of which a slight crepitation can 

 he obtained by palpation. Anchylosis of the articular surfaces 

 is a frequent sequel. 

 Describe panneous arthritis {arthritis pannasa). 



A chronic arthritis met with in chronic articular rheuma- 

 tism and old galls, the articular cartilage being covered with. 

 vascular granulations which in time bring about fibrous adhe- 

 sions, or, in other words, a fibrous anchylosis. 



