Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


The lesions met with later correspond to those of the tertiary period of
the acquired disease, but as they affect bones which are still actively
growing, the effects are more striking. Gummatous disease may come and
go over periods of many years, with the result that the external
appearance and architectural arrangement of a long bone come to be
profoundly altered. In the tibia, for example, the shaft is bowed
forward in a gentle curve, which is compared to the curve of a
sabre--"sabre-blade" deformity (Fig. 132). The diffuse thickening all
round the bone obscures the sharp margins so that the bone becomes
circular in section and the anterior and mesial edges are blunted, and
the comparison to a cucumber is deserved. In some cases the tibia is
actually increased in length as well as in girth.

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