PAGET'S DISEASE OF THE BONE

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Abstract
Sir James Paget first brought to prominence a definite and unexplained type of bone disease that has rightly been classified under his name, though the Germans later named it "osteomyelitis fibrosa"— a name that is clinically delusive, as there is nowhere a fibrous change, but only a large bony overgrowth. Genetically, bone structure is classed with fibrous tissue in embryologic development; but it is not an excuse for a name that is misleading and not elucidating to the student. Though the disease appears first in some isolated bone, it is not essentially a "one-bone disease." Usually it is noticed in a curvature and enlargement of one tibia, femur, clavicle or ulna; and the surgeon often examines the skeleton in vain endeavor to find a second diseased bone. Nevertheless, in almost all cases, a roentgenogram of the head will reveal a thickening of the frontal, parietal and occipital bones, sometimes of

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