Reflex Hyperemic Deossifications Regional to Joints of the Extremities

Abstract

Localized deossifications in the extremities are rather common findings. Yet it appears that varied interpretations are offered as to their significance. Not infrequently they are ignored. Perhaps there may be a statement to the effect that there is an “osteoporosis,” insinuating a passive type of bone absorption, such as might be related to disuse. In cases of conspicuous absorptions, however, there is the opposite tendency—i.e., to exaggerate the roentgen evidence, even to the extent of assuming the presence of an infection or possibly a neoplasm. At least 7 referred cases are known to the writers wherein this latter extreme of interpretation prevailed. In 2 of these, amputations had been performed, but histopathologic studies revealed no evidence of malignant growth or even of infection—no substantial basis, indeed, for the amputations. In several of the other cases, amputations had not been performed but the cases had been referred for that purpose. Incisions for drainage of supposed abscesses or actu...