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Article
September 5, 1896

A FEW REMARKS ON THE PATHOLOGY OF SYNOVITIS HYPERPLASTICA GRANULOSA OF THE SHOULDER JOINT.

Author Affiliations

Instructor in Surgery and Assistant to the chair of Practice of Surgery, Rush Medical College. CHICAGO.

JAMA. 1896;XXVII(10):541-542. doi:10.1001/jama.1896.02430880033002i

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Abstract

Tuberculosis, which has such great predilection for bones and joints, appears to prove the rule by its exception as regards the shoulder joint. Its comparative infrequency is shown from the fact that in the surgical clinic of Göttingen from the years 1875 to 1891, there were only sixty instances of shoulder joint tuberculosis; while during the period from 1875 to 1882 there were 174 cases of tuberculosis of the knee. In the great majority of cases of tuberculosis of the shoulder joint, caries sicca, that peculiar manifestation of this disease which was first so accurately described by Volkmann, is almost invariably found. Caries sicca is a very mild form of tuberculosis, consisting of molecular decay with a consequent cicatrization, and very frequently terminating in a spontaneous recovery. Synovitis hyperplastica granulosa was called by Billroth fungous synovitis. The tuberculous nature of this affection was determined by Köster in 1869. While it

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