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PROGRESS IN ORTHOPEDIC SURGERY FOR 1946 A Review Prepared by an Editorial Board of the American Academy of Orthopaedic Surgeons: XV. TUBERCULOSIS OF BONES AND JOINTS

PROGRESS IN ORTHOPEDIC SURGERY FOR 1946 A Review Prepared by an Editorial Board of the American... Abstract WILKINSON702 discusses the relation of multiple tuberculous lesions to prognosis in the treatment of tuberculosis of bones and joints. He states the belief that associated pulmonary lesions are most important, skeletal lesions of least significance and genitourinary lesions of intermediate importance. He regards multiple infection of lymph nodes as indicating good resistance and multiple hematogenous lesions the reverse. The author feels that general benefit is gained in many cases by operation; this result may be due to removal of a source of tuberculous toxemia or to autoinoculation. The histories in 129 cases of skeletal tuberculosis complicated with associated tuberculous lesions, reported over a ten year period, are examined. The study shows that results in the surgical cases were slightly better than those in the nonsurgical cases, and would indicate that operation should not be withheld because of multiplicity of lesions. [Ed. Note (A. DeF. S.). —This evidence confirms the References 1. Einhorn, N. H.; Moore, J. R., and Rowntree, L. G.: Osteochondrodystrophia Deformans (Morquio's Disease): Observations at Autopsy in One Case , Am. J. Dis. Child. 72:536-544 ( (Nov.) ) 1946.Crossref 2. Scott, E. P., and Rotondo, C. C.: Chondro-Osteodystrophy (Morquio's Disease) , Arch. Pediat. 63:261-265 ( (June) ) 1946. 3. Howard, C.: Traumatic Ossifying Myositis , U. S. Nav. M. Bull. 46:724-730 ( (May) ) 1946. 4. Wilkinson, M. C.: Treatment of Bone Tuberculosis in Relation to Multiple Tuberculous Lesions , Proc. Roy. Soc. Med. 39:712-713 ( (Sept.) ) 1946. 5. Eriksen, B.: Tuberculosis of Bones and Joints, Including Analysis of Material of Danish Disablement Pension Board of Years 1921-1940 , Acta orthop. Scandinav. 16:43-46, 1945.Crossref 6. Ruppanner, E.: Metastatische Infektion eines tuberkulösen Senkungsabszesses mit dem Bacillus funduliformis , Schweiz. med. Wchnschr. 75:1089-1090 ( (Dec. 8) ) 1945. 7. Kisch, E.: Treatment of Tuberculous Arthritis , Am. Rev. Tuberc. 53: 533-546 ( (June) ) 1946. 8. Herdner and Malgras, P.: Une localisation inédite de tuberculose ostéoarticulaire, celle de l'articulation costo-transversaire , Mém. Acad. de chir. 71:454-457 ( (Nov. 28-Dec. 19) ) 1945. 9. Ellonen, A.: Untersuchungen über die Tonsillentuberkulose mit besonderer Berücksichtigung ihrer Beziehung zu der Knochen- und Gelenktuberkulose der Kinder , Acta oto-laryng. (supp.) 47:1-129, 1942. 10. Seligson, F.: Poncet's Disease: Clinical Observations in Inflammatory and Degenerative Joint Reactions in Tuberculosis , Am. Rev. Tuberc. 52:463-473 ( (Dec.) ) 1945. 11. Sheldon, W.: Tuberculous Rheumatism , Lancet 1:119-121 ( (Jan. 26) ) 1946.Crossref 12. Desmeules, R.: Rousseau, L., and Richard P.: Rhumatisme et tuberculose , Laval méd. 11:35-46 ( (Jan.) ) 1946. 13. Seddon, H. J.: The Pathology of Pott's Paraplegia , Proc. Roy. Soc. Med. 39:723-730 ( (Sept.) ) 1946. 14. Alexander, G. L.: Neurological Complications of Spinal Tuberculosis , Proc. Roy. Soc. Med. 39:730-734 ( (Sept.) ) 1946. 15. Deery, E. M.: Laminectomy for Pott's Paraplegia , Ann. Surg. 124:201-203 ( (Aug.) ) 1946.Crossref 16. Orell, S., and Hellstadius, A.: Interesting Case of Tuberculous Spondylitis , Nord. med. (Hygiea) 13:670-673 ( (Feb. 28) ) 1942. 17. Farina, C., and Negri, M.: La spondilite di Mandelstamm , Ann. ital. di chir. 21:567-580 ( (Sept.-Oct.) ) 1942. 18. Schleicher, E. M.: Miliary Tuberculosis of Bone Marrow , Am. Rev. Tuberc. 53:115-121 ( (Feb.) ) 1946. 19. Guri, J. P.: Pyogenic Osteomyelitis of Spine: Differential Diagnosis Through Clinical and Roentgenographic Observations , J. Bone & Joint Surg. 28:29-39 ( (Jan.) ) 1946. 20. Lewis, R. W.: Differential Diagnosis of Tuberculosis in Joints of Extremities , Rev. radiol. y fisiotherap. 13:115-122 and 164 ( (July-Aug.) ) 1946. 21. Ferey, D., and Sambron: Deux observations de fausses hernies discales dues à des abcès froids , Rev. neurol. 77:189-192 ( (July-Aug.) ) 1945. 22. Richart Sotes, T.: Contribución al diagnóstico diferencial de la tuberculosis osteoarticular , Rev. españ. de tuberc. 15:261-274 ( (April) ) 1946. 23. Frank, P.: Penicillin Therapy of Secondary Infected Abscesses , Nederl. tijdschr. v. geneesk. 90:366-367 ( (April 27) ) 1946. 24. Lapierre, V.: Therapy of Secondary Infected Fistulas, with Special Reference to Penicillin , Union méd. du Canada 75:799-784 ( (July) ) 1946. 25. Morgan, C., and Bosworth, D. S.: Transpleural Rupture of Tuberculous Spinal Abscess Treated Successfully by Streptomycin: Report of Case , J. Bone & Joint Surg. 28:864-868 ( (Oct.) ) 1946. 26. Keefer, C. S.; Blake, F. G.; Lockwood, J. S.; Long, P. H.; Marshall, E. K., and Wood, W. B., Jr.: Streptomycin in the Treatment of Infections , J. A. M. A. 132:4-11 ( (Sept.) ) 1946. 27. Stanischeff, A.: Knee-Resection of Joint , Minerva med. 1:25-28 ( (Jan. 6) ) 1942. 28. Servelle: De la résection de l'épaule pour tuberculose par le procédé de Leriche , Rev. d'orthop. 32:189-193 ( (May-Aug.) ) 1946. 29. Freiberg, J. A.: Brittain Ischiofemoral Arthrodesis , J. Bone & Joint Surg. 28:501-512 ( (July) ) 1946. 30. Bosworth, D. M., and Green, L. A.: Experiences with Arthrodesis for Tuberculosis of Hip , Quart. Bull., Sea View Hosp. 8:39-46 ( (Jan.) ) 1946. 31. Karken, A.: Arthrodesis in Treatment of Tuberculous Coxitis Sequelae , Acta orthop. Scandinav. 16:1-27, 1945. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

PROGRESS IN ORTHOPEDIC SURGERY FOR 1946 A Review Prepared by an Editorial Board of the American Academy of Orthopaedic Surgeons: XV. TUBERCULOSIS OF BONES AND JOINTS

Archives of Surgery , Volume 58 (4) – Apr 1, 1949

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Publisher
American Medical Association
Copyright
Copyright © 1949 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1949.01240030554015
Publisher site
See Article on Publisher Site

Abstract

Abstract WILKINSON702 discusses the relation of multiple tuberculous lesions to prognosis in the treatment of tuberculosis of bones and joints. He states the belief that associated pulmonary lesions are most important, skeletal lesions of least significance and genitourinary lesions of intermediate importance. He regards multiple infection of lymph nodes as indicating good resistance and multiple hematogenous lesions the reverse. The author feels that general benefit is gained in many cases by operation; this result may be due to removal of a source of tuberculous toxemia or to autoinoculation. The histories in 129 cases of skeletal tuberculosis complicated with associated tuberculous lesions, reported over a ten year period, are examined. The study shows that results in the surgical cases were slightly better than those in the nonsurgical cases, and would indicate that operation should not be withheld because of multiplicity of lesions. [Ed. Note (A. DeF. S.). —This evidence confirms the References 1. Einhorn, N. H.; Moore, J. R., and Rowntree, L. G.: Osteochondrodystrophia Deformans (Morquio's Disease): Observations at Autopsy in One Case , Am. J. Dis. Child. 72:536-544 ( (Nov.) ) 1946.Crossref 2. Scott, E. P., and Rotondo, C. C.: Chondro-Osteodystrophy (Morquio's Disease) , Arch. Pediat. 63:261-265 ( (June) ) 1946. 3. Howard, C.: Traumatic Ossifying Myositis , U. S. Nav. M. Bull. 46:724-730 ( (May) ) 1946. 4. Wilkinson, M. C.: Treatment of Bone Tuberculosis in Relation to Multiple Tuberculous Lesions , Proc. Roy. Soc. Med. 39:712-713 ( (Sept.) ) 1946. 5. Eriksen, B.: Tuberculosis of Bones and Joints, Including Analysis of Material of Danish Disablement Pension Board of Years 1921-1940 , Acta orthop. Scandinav. 16:43-46, 1945.Crossref 6. Ruppanner, E.: Metastatische Infektion eines tuberkulösen Senkungsabszesses mit dem Bacillus funduliformis , Schweiz. med. Wchnschr. 75:1089-1090 ( (Dec. 8) ) 1945. 7. Kisch, E.: Treatment of Tuberculous Arthritis , Am. Rev. Tuberc. 53: 533-546 ( (June) ) 1946. 8. Herdner and Malgras, P.: Une localisation inédite de tuberculose ostéoarticulaire, celle de l'articulation costo-transversaire , Mém. Acad. de chir. 71:454-457 ( (Nov. 28-Dec. 19) ) 1945. 9. Ellonen, A.: Untersuchungen über die Tonsillentuberkulose mit besonderer Berücksichtigung ihrer Beziehung zu der Knochen- und Gelenktuberkulose der Kinder , Acta oto-laryng. (supp.) 47:1-129, 1942. 10. Seligson, F.: Poncet's Disease: Clinical Observations in Inflammatory and Degenerative Joint Reactions in Tuberculosis , Am. Rev. Tuberc. 52:463-473 ( (Dec.) ) 1945. 11. Sheldon, W.: Tuberculous Rheumatism , Lancet 1:119-121 ( (Jan. 26) ) 1946.Crossref 12. Desmeules, R.: Rousseau, L., and Richard P.: Rhumatisme et tuberculose , Laval méd. 11:35-46 ( (Jan.) ) 1946. 13. Seddon, H. J.: The Pathology of Pott's Paraplegia , Proc. Roy. Soc. Med. 39:723-730 ( (Sept.) ) 1946. 14. Alexander, G. L.: Neurological Complications of Spinal Tuberculosis , Proc. Roy. Soc. Med. 39:730-734 ( (Sept.) ) 1946. 15. Deery, E. M.: Laminectomy for Pott's Paraplegia , Ann. Surg. 124:201-203 ( (Aug.) ) 1946.Crossref 16. Orell, S., and Hellstadius, A.: Interesting Case of Tuberculous Spondylitis , Nord. med. (Hygiea) 13:670-673 ( (Feb. 28) ) 1942. 17. Farina, C., and Negri, M.: La spondilite di Mandelstamm , Ann. ital. di chir. 21:567-580 ( (Sept.-Oct.) ) 1942. 18. Schleicher, E. M.: Miliary Tuberculosis of Bone Marrow , Am. Rev. Tuberc. 53:115-121 ( (Feb.) ) 1946. 19. Guri, J. P.: Pyogenic Osteomyelitis of Spine: Differential Diagnosis Through Clinical and Roentgenographic Observations , J. Bone & Joint Surg. 28:29-39 ( (Jan.) ) 1946. 20. Lewis, R. W.: Differential Diagnosis of Tuberculosis in Joints of Extremities , Rev. radiol. y fisiotherap. 13:115-122 and 164 ( (July-Aug.) ) 1946. 21. Ferey, D., and Sambron: Deux observations de fausses hernies discales dues à des abcès froids , Rev. neurol. 77:189-192 ( (July-Aug.) ) 1945. 22. Richart Sotes, T.: Contribución al diagnóstico diferencial de la tuberculosis osteoarticular , Rev. españ. de tuberc. 15:261-274 ( (April) ) 1946. 23. Frank, P.: Penicillin Therapy of Secondary Infected Abscesses , Nederl. tijdschr. v. geneesk. 90:366-367 ( (April 27) ) 1946. 24. Lapierre, V.: Therapy of Secondary Infected Fistulas, with Special Reference to Penicillin , Union méd. du Canada 75:799-784 ( (July) ) 1946. 25. Morgan, C., and Bosworth, D. S.: Transpleural Rupture of Tuberculous Spinal Abscess Treated Successfully by Streptomycin: Report of Case , J. Bone & Joint Surg. 28:864-868 ( (Oct.) ) 1946. 26. Keefer, C. S.; Blake, F. G.; Lockwood, J. S.; Long, P. H.; Marshall, E. K., and Wood, W. B., Jr.: Streptomycin in the Treatment of Infections , J. A. M. A. 132:4-11 ( (Sept.) ) 1946. 27. Stanischeff, A.: Knee-Resection of Joint , Minerva med. 1:25-28 ( (Jan. 6) ) 1942. 28. Servelle: De la résection de l'épaule pour tuberculose par le procédé de Leriche , Rev. d'orthop. 32:189-193 ( (May-Aug.) ) 1946. 29. Freiberg, J. A.: Brittain Ischiofemoral Arthrodesis , J. Bone & Joint Surg. 28:501-512 ( (July) ) 1946. 30. Bosworth, D. M., and Green, L. A.: Experiences with Arthrodesis for Tuberculosis of Hip , Quart. Bull., Sea View Hosp. 8:39-46 ( (Jan.) ) 1946. 31. Karken, A.: Arthrodesis in Treatment of Tuberculous Coxitis Sequelae , Acta orthop. Scandinav. 16:1-27, 1945.

Journal

Archives of SurgeryAmerican Medical Association

Published: Apr 1, 1949

References