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May 7, 1904


JAMA. 1904;XLII(19):1211-1212. doi:10.1001/jama.1904.92490640017001d

W. C. S., a barber, aged 33 years, admitted to St. Joseph's Hospital Aug. 4, 1903. Family history negative. No history of injury nor other exciting cause. Left knee began to trouble him fourteen years ago. Had attacks of inflammation every two to four years, but later years the attacks were as often as three or four times yearly. He had knowledge of loose bodies within the joint for the greater portion of the time. They produced locking of the joint and inflammation followed. Recently these attacks have been much worse and great swelling and pain resulted. On presentation many loose bodies were easily distinguishable.

Operation.  —August 5, 1903, an incision was made as for a Volkmann resection of the knee. The patella was sawn transversely, the lateral and crucial ligaments divided, which exposed the whole articulation. Four bodies were removed from above the patella. One of these was the large

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