File:Geriatrics; the diseases of old age and their treatment, including physiological old age, home and institutional care, and medico-legal relations (1914) (14584487607).jpg

Identifier: geriatricsdisea00nasc (find matches)
Title: Geriatrics; the diseases of old age and their treatment, including physiological old age, home and institutional care, and medico-legal relations
Year: 1914 (1910s)
Authors: Nascher, I. L. (Ignatz Leo), 1863-
Subjects: Geriatrics
Publisher: Philadelphia, P. Blakiston's son & Co
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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m this bone is pushedback, the angle of the sacro-lumbar artictdation becomes moreacute, there is anchylosis of the sacrum and coccyx and thesacro-iliac relations become altered, the ilia being forced back-ward to accommodate themselves to the changed position of thesacrum. Between this downward and backward pressiure of thesacrum and the upward pressure exerted by the femurs the wholepelvis becomes vertically compressed and horizontally expanded.The width of the pelvis is apparently increased still more throughwaste of the glutei muscles and through changes in the neck ofthe femur which bring the greater trochanter higher and furtherout. The ilia become thin, the pubes undergoes osteporosis andlate in life wastes, the acetabtdi become shallow and largerthrough the waste of the surrounding bone. The principalchange in the femur is found in the relation between neck andshaft. In maturity they form an angle of about 145 degrees,but in old age the neck becomes depressed until the angle n
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Section of the Head of the Thigh Bone of a Man of Thirty-seven Years.(From Minots Problems of Age, Growth and Death. G. P. Putnams Sons,New York and London.) Section of the Head of the Thigh Bone of a Woman of Eighty-two Years.Shows also depression of head of femur. (From Minots Problems of Age,Growth and Death. G. P. Putnams Sons, New York and London ) ANATOMICAL CHANGES IN OLD AGE 23 formed approaches a right angle. Osteoporosis destroys thearrangement of the cancellous structure of the neck, the bonebeing thereby weakened, thus accounting for the frequency offracture of the neck of the femur in old age. Other changes inthe femur are such as occur in all long bones. Broken-downarches of the feet are found generally in the aged. It may bequestioned whether this is a physiological or a pathologicalcondition in old age. It is due to the downward pressure uponthe feet and weakness of the tendons, and frequently to impropershoes. The cartilage changes are waste, ossification, calcificatigeriatricsdisea00nasc

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