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RELATIONSHIP BETWEEN ANATOMIC CHANGES IN KNEE JOINT WITH ADVANCING AGE AND DEGENERATIVE ARTHRITIS

RELATIONSHIP BETWEEN ANATOMIC CHANGES IN KNEE JOINT WITH ADVANCING AGE AND DEGENERATIVE ARTHRITIS Abstract The acquirement of knowledge concerning arthritis has been delayed by a lack of detailed information regarding the changes which may be encountered with advancing age. Such information is highly desirable in order to assist in defining the limits of normal for a given age period. It is of further importance from the point of view of the ultimate changes that may occur in a joint which has been the site of an injury resulting from invasion by infective agents, and, finally, it provides knowledge regarding the early stages of disorders of the joints. For these reasons we have made a systematic study of 100 knee joints removed at consecutive necropsies, and in this article we detail the gross anatomic findings and discuss their significance. MATERIAL AND METHODS One hundred knee joints were removed from 77 cadavers. The cases were not selected on the basis of previous clinical diagnosis or the References 1. Rimann, H.: Arb. a. d. path. Inst. zu Berlin z. Feier 1:139, 1906. 2. Beitzke, H.: Ueber die sogenannte Arthritis deformans atrophica , Ztschr. f. klin. Med. 74:215, 1912. 3. Clark, H. C.: Etiologic Factors in Gross Lesions of the Large Joints; Observations from 1,100 Consecutive Necropsies , J. A. M. A. 69:2099 ( (Dec. 22) ) 1917.Crossref 4. Heine, J.: Ueber die Arthritis deformans , Virchows Arch. f. path. Anat. 260:521, 1926.Crossref 5. Meyer, A. W.: Further Observations upon Use-Destruction in Joints , J. Bone & Joint Surg. 4:491, 1922. 6. Keyes, E. L.: Erosions of the Articular Surfaces of the Knee Joint , J. Bone & Joint Surg. 15:369, 1933. 7. Bennett, G. A., and Bauer, W.: A Systematic Study of the Degeneration of Articular Cartilage in Bovine Joints , Am. J. Path. 7:399, 1931. 8. Zöllner, F.: Untersuchungen über die Erscheinungsformen der Arthritis deformans in den Sacro-Iliacalgelenken , Virchows Arch. f. path. Anat. 277:817, 1930. 9. Smith-Petersen, M. N.: Traumatic Arthritis , Arch. Surg. 18:1216 ( (April) ) 1929. 10. Sievers, R.: Arthritis deformans des Akromioklavikulargelenks: zugleich ein Beitrag zur traumatischen Entstehung der Arthritis deformans chronica , Virchows Arch. f. path. Anat. ( (supp. 1) ) 226:123, 1919. 11. Ely, L. W.: A Study of the Sterno-Clavicular Joint , in Ely, L. W., and Cowan, J. F.: Bone and Joint Studies , Stanford University, Calif., Stanford University Press, 1916, p. 121. 12. Lane, W. A.: Some Points in the Physiology and Pathology of the Osseous Systems of Trunk and Shoulder Girdle , Guy's Hosp. Rep. 28:321, 1886. 13. Fischer, A.: Rheumatismus als Berufskrankheit , Acta rheumatol. 4:24, 1932. 14. Pommer, G.: Ueber die mikroskopischen Kennzeichen und die Entstehungsbedingungen der Arthritis deformans (nebst neunen Beiträgen zur Kenntnis der Knorpelknötchen) , Virchows Arch. f. path. Anat. 263:434, 1927. 15. Beneke, R.: Zur Lehre von der Spondylitis deformans , Versamml. d. deutsche Naturf. u. Aerzte , Braunschweig, 1897, p. 109. 16. Keyes, O. C., and Compere, E. L.: The Normal and Pathological Physiology of the Nucleus Pulposus of the Inter-Vertebral Disc , J. Bone & Joint Surg. 14:897, 1932. 17. Preiser, Georg: Statische Gelenkerkrankungen , Stuttgart, Ferdinand Enke, 1911 18. Ueber die Arthritis deformans coxae; ihre Beziehungen zur Roser Nélatonschen Linie und über den Trochanter Hochstand, Hüftgesunder infolge abnormaler Pfannenstellungen , Deutsche Ztschr. f. Chir. 89:591, 1907. 19. Lang, F. S.: Osteo-Arthritis Deformans Contrasted with Osteo-Arthritis Deformans Juvenilis , J. Bone & Joint Surg. 14:563, 1932. 20. Freund, E.: Zur Deutung des Röntgenbildes der Perthesschen Krankheit , Fortschr. a. d. Geb. d. Röntgenstrahlen 42:435, 1930. 21. Miltner, L. J., and Hu, C. H.: Osteochondritis of the Head of the Femur; An Experimental Study , Proc. Soc. Exper. Biol. & Med. 30:416 ( (Jan.) ) 1933. 22. Key, J. A.: Traumatic Arthritis and the Mechanical Factors in Hypertrophic Arthritis , J. Lab. & Clin. Med. 15:1145, 1930. 23. Shands, A. R., Jr.: Neuropathies of the Bones and Joints , Arch. Surg. 20: 614 ( (April) ) 1930. 24. Moritz, A. R.: Tabische Arthropathie , Virchows Arch. f. path. Anat. 267:746, 1928.Crossref 25. Keefer, C. S., and Myers, W. K.: Hemophilic Arthritis , New England J. Med. 208:1183 ( (June 8) ) 1933.Crossref 26. Bennett, G. A.; Bauer, W., and Maddock, J. J.: A Study of the Repair of Articular Cartilage and the Reaction of Normal Joints of Adult Dogs to Surgically Created Defects of Articular Cartilage; "Joint Mice" and Patellar Displacement , Am. J. Path. 8:499, 1932. 27. Axhausen, Georg: Arch. f. klin. Chir. 99:519, 1912. 28. Ely, L. S., and Cowan, J. F.: Bone and Joint Studies , Stanford University, Calif., Stanford University Press, 1916, p. 38. 29. Müller, W.: Experimentelle Untersuchungen über Druckusuren an Gelenkenden für die Pathogenese der Arthritis deformans , Deutsche Ztschr. f. Chir. 180:203, 1923. 30. Burckhardt, H.: Experimentelle Untersunchungen über die Beziehungen der Gelenkfunktionen zur Arthritis deformans , Arch. f. klin. Chir. 132:706, 1924. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

RELATIONSHIP BETWEEN ANATOMIC CHANGES IN KNEE JOINT WITH ADVANCING AGE AND DEGENERATIVE ARTHRITIS

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American Medical Association
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Copyright © 1934 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1934.00160090002001
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Abstract

Abstract The acquirement of knowledge concerning arthritis has been delayed by a lack of detailed information regarding the changes which may be encountered with advancing age. Such information is highly desirable in order to assist in defining the limits of normal for a given age period. It is of further importance from the point of view of the ultimate changes that may occur in a joint which has been the site of an injury resulting from invasion by infective agents, and, finally, it provides knowledge regarding the early stages of disorders of the joints. For these reasons we have made a systematic study of 100 knee joints removed at consecutive necropsies, and in this article we detail the gross anatomic findings and discuss their significance. MATERIAL AND METHODS One hundred knee joints were removed from 77 cadavers. The cases were not selected on the basis of previous clinical diagnosis or the References 1. Rimann, H.: Arb. a. d. path. Inst. zu Berlin z. Feier 1:139, 1906. 2. Beitzke, H.: Ueber die sogenannte Arthritis deformans atrophica , Ztschr. f. klin. Med. 74:215, 1912. 3. Clark, H. C.: Etiologic Factors in Gross Lesions of the Large Joints; Observations from 1,100 Consecutive Necropsies , J. A. M. A. 69:2099 ( (Dec. 22) ) 1917.Crossref 4. Heine, J.: Ueber die Arthritis deformans , Virchows Arch. f. path. Anat. 260:521, 1926.Crossref 5. Meyer, A. W.: Further Observations upon Use-Destruction in Joints , J. Bone & Joint Surg. 4:491, 1922. 6. Keyes, E. L.: Erosions of the Articular Surfaces of the Knee Joint , J. Bone & Joint Surg. 15:369, 1933. 7. Bennett, G. A., and Bauer, W.: A Systematic Study of the Degeneration of Articular Cartilage in Bovine Joints , Am. J. Path. 7:399, 1931. 8. Zöllner, F.: Untersuchungen über die Erscheinungsformen der Arthritis deformans in den Sacro-Iliacalgelenken , Virchows Arch. f. path. Anat. 277:817, 1930. 9. Smith-Petersen, M. N.: Traumatic Arthritis , Arch. Surg. 18:1216 ( (April) ) 1929. 10. Sievers, R.: Arthritis deformans des Akromioklavikulargelenks: zugleich ein Beitrag zur traumatischen Entstehung der Arthritis deformans chronica , Virchows Arch. f. path. Anat. ( (supp. 1) ) 226:123, 1919. 11. Ely, L. W.: A Study of the Sterno-Clavicular Joint , in Ely, L. W., and Cowan, J. F.: Bone and Joint Studies , Stanford University, Calif., Stanford University Press, 1916, p. 121. 12. Lane, W. A.: Some Points in the Physiology and Pathology of the Osseous Systems of Trunk and Shoulder Girdle , Guy's Hosp. Rep. 28:321, 1886. 13. Fischer, A.: Rheumatismus als Berufskrankheit , Acta rheumatol. 4:24, 1932. 14. Pommer, G.: Ueber die mikroskopischen Kennzeichen und die Entstehungsbedingungen der Arthritis deformans (nebst neunen Beiträgen zur Kenntnis der Knorpelknötchen) , Virchows Arch. f. path. Anat. 263:434, 1927. 15. Beneke, R.: Zur Lehre von der Spondylitis deformans , Versamml. d. deutsche Naturf. u. Aerzte , Braunschweig, 1897, p. 109. 16. Keyes, O. C., and Compere, E. L.: The Normal and Pathological Physiology of the Nucleus Pulposus of the Inter-Vertebral Disc , J. Bone & Joint Surg. 14:897, 1932. 17. Preiser, Georg: Statische Gelenkerkrankungen , Stuttgart, Ferdinand Enke, 1911 18. Ueber die Arthritis deformans coxae; ihre Beziehungen zur Roser Nélatonschen Linie und über den Trochanter Hochstand, Hüftgesunder infolge abnormaler Pfannenstellungen , Deutsche Ztschr. f. Chir. 89:591, 1907. 19. Lang, F. S.: Osteo-Arthritis Deformans Contrasted with Osteo-Arthritis Deformans Juvenilis , J. Bone & Joint Surg. 14:563, 1932. 20. Freund, E.: Zur Deutung des Röntgenbildes der Perthesschen Krankheit , Fortschr. a. d. Geb. d. Röntgenstrahlen 42:435, 1930. 21. Miltner, L. J., and Hu, C. H.: Osteochondritis of the Head of the Femur; An Experimental Study , Proc. Soc. Exper. Biol. & Med. 30:416 ( (Jan.) ) 1933. 22. Key, J. A.: Traumatic Arthritis and the Mechanical Factors in Hypertrophic Arthritis , J. Lab. & Clin. Med. 15:1145, 1930. 23. Shands, A. R., Jr.: Neuropathies of the Bones and Joints , Arch. Surg. 20: 614 ( (April) ) 1930. 24. Moritz, A. R.: Tabische Arthropathie , Virchows Arch. f. path. Anat. 267:746, 1928.Crossref 25. Keefer, C. S., and Myers, W. K.: Hemophilic Arthritis , New England J. Med. 208:1183 ( (June 8) ) 1933.Crossref 26. Bennett, G. A.; Bauer, W., and Maddock, J. J.: A Study of the Repair of Articular Cartilage and the Reaction of Normal Joints of Adult Dogs to Surgically Created Defects of Articular Cartilage; "Joint Mice" and Patellar Displacement , Am. J. Path. 8:499, 1932. 27. Axhausen, Georg: Arch. f. klin. Chir. 99:519, 1912. 28. Ely, L. S., and Cowan, J. F.: Bone and Joint Studies , Stanford University, Calif., Stanford University Press, 1916, p. 38. 29. Müller, W.: Experimentelle Untersuchungen über Druckusuren an Gelenkenden für die Pathogenese der Arthritis deformans , Deutsche Ztschr. f. Chir. 180:203, 1923. 30. Burckhardt, H.: Experimentelle Untersunchungen über die Beziehungen der Gelenkfunktionen zur Arthritis deformans , Arch. f. klin. Chir. 132:706, 1924.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Mar 1, 1934

References