June 7, 1947

Injuries of the Knee Joint

JAMA. 1947;134(6):561. doi:10.1001/jama.1947.02880230071030

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This is one of the best books on injuries of the knee that has been published. The author has had vast experience, having treated "2,235 cases in five years in the hospital" and "in addition 2,700 internal derangements in service personnel, mining and industrial workers were referred for consultation during the same period." This work was done in the Orthopedic Unit of the Base Hospital set up by the Department of Health for Scotland in 1940.

The book starts out with a comparative anatomy description of knee action and an explanation of quadriceps insufficiency which the author ascribes in part as due to the late acquisition in man's evolution from a quadruped to the erect posture. When injury occurs the lately acquired function of supporting orthograde posture easily disappears. The quadriceps and especially the vastus medialis wastes quickly. This inhibition should be overcome by early active non-weight bearing exercises which

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