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December 16, 1939

Die infektiösen Krankheitsprozesse der Kniescheibe

JAMA. 1939;113(25):2265. doi:10.1001/jama.1939.02800500070037

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In this monograph the author first presents an extensive review of the literature on tuberculosis and osteomyelitis of the patella. He then presents in detail a series of seven cases of tuberculosis and seven cases of osteomyelitis and compares his own observations with those of the authors in the preceding study. He feels that the prognosis in osteomyelitis is usually good as regards knee joint function, while in tuberculosis the result is most frequently ankylosis. In osteomyelitis simple drainage, usually with sequestrectomy, most often effects a cure, while in tuberculosis complete removal of the patella is recommended as the treatment of choice. From a critical analysis of the roentgenograms the author states that there is no characteristic roentgenologic difference between tuberculosis and osteomyelitis of the patella. He also points out that films of the normal growing patella may show numerous variations and irregularities and advises that in doubtful cases of

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