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June 12, 1926


JAMA. 1926;86(24):1813-1815. doi:10.1001/jama.1926.02670500001001

The orthopedic surgeon of today is well trained in the application of therapeutic measures to prevent and relieve deformity, but he is often faced with problems which have not been properly solved or which have been solved only after considerable injury has been done to important structures and he is expected to do the impossible in the restoration of function. Some of the reasons for this are wrong diagnosis, late diagnosis, snap diagnosis or the diagnosis of hysteria.

Musser1 says, "Success in treatment requires both accuracy and completeness in diagnosis," and "Partial knowledge of a case differs in degree only from ignorance." To my mind these two sayings are as true today as they were twenty-five years ago, and they should make us pause and ask ourselves whether or not we are endeavoring to do everything in our power to locate and discover the trouble with many of our