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Article
January 2, 1926

ARTHRODESIS FOR TUBERCULOSIS OF THE SACRO-ILIAC JOINTSTUDY OF THE END-RESULTS

JAMA. 1926;86(1):26-30. doi:10.1001/jama.1926.02670270030007
Abstract

This study is based on thirteen cases in which operation was performed during the last seven years for tuberculosis of the sacro-iliac joint. The results obtained from this operative treatment justify a distinctly more optimistic attitude than has hitherto been entertained.

An end-result study should fulfil a twofold purpose: It should establish or disprove the value of diagnostic methods and it should establish or disprove the value of treatment.

DIAGNOSIS  The diagnosis depends on a very careful history, as well as a careful examination.A detailed discussion of signs and symptoms diagnostic of sacro-iliac conditions was read before the American Orthopedic Association in 1924. An outline of it must suffice here (Table 1).The almost constant finding of radiation pain over the posterior aspect of the thigh and leg is of importance, because of its diagnostic value in any sacro-iliac joint condition, whether traumatic or inflammatory. Since we find this

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