. Röntgen diagnostic et thérapie de la radiographie . Figure 97.—dislocation congénitale de la hanche chez une fille de dix-sept ans, l'acétabulum vide montrant bien formé. La plus importante. Dans les cas douteux, les rayons détermineront la coxite lactosérique, traumatique ou tuberculeuse (Fig. 98) est présent. In11 146 LE KONTGEN RAIES vue de la grande différence dans le traitement, l'immense importanced'un diagnostic positif est évidente. Il est toujours conseillé de skia-graphe les deux hanches, de sorte que le côté sain et malade peut être com-. ARTICULATION TUBERCULEUSE HLP. Après avoir obtenu une vue générale, le diaphragme doit être utilisé pour le

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. Röntgen ray diagnosis and therapy . Fig. 97.—Congenital Dislocation of Hip in a Girl of Seventeen Years, the Empty Acetabulum showing Well Formed. most importance. In doubtful cases the rays will determine whethersimple, traumatic, or tuberculous coxitis (Fig. 98) is present. In11 146 THE KONTGEN RAYS view of the great difference in treatment, the immense importanceof a positive diagnosis is evident. It is always advisable to skia-graph both hips, so that the healthy and diseased side can be com-. TUBERCULOUS HlP-JOINT. pared. After a general view is obtained the diaphragm must beused for the better recognition of structural details. In a normal hip-joint there is a regular semicircular lightarea between the femoral head and the acetabulum, while in a tu-berculous hip the articular outlines, instead of being regular andmarked, are irregular and diffuse. In the beginning of the proc-ess, however, these signs may be overlooked. Slight projections ofthe femoral head are often found at an early stage and indicate PELVIS AND LOWER EXTREMITY 147 the presence of fungous granulations. Later, cheesy foci in theacetabulum, the head, the neck, and the trochanter major can oftenbe detected. Such processes must be differentiated from osteo-myelitic foci, which have originated within the bone and grad-ually entered the joint. After the healing process is completed, the degree of atrophy of the femur and the extent of the anky-losis can be well studied. Osteomyelitic foci and sequestra arenatu

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