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February 3, 1945


JAMA. 1945;127(5):294. doi:10.1001/jama.1945.02860050042022

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To the Editor:—  In reference to the editorial comment on four generations of sacroiliac arthritis (The Journal, Aug. 12, 1944, p. 1044), I am sorry I am stationed outside the continental limits and do not have access to the original article, but the comment must have caused most orthopedic surgeons either to laugh or to have apoplexy.Is pain in the region of the sacroiliac joint diagnostic of sacroiliac arthritis? Does the presence of sciatica and tingling and swelling of the extremities make it more so?Were any x-ray studies made in this group of remarkable people, who were for the most part manual laborers and obese? Is not anatomic structure of the lumbar spine also hereditary?Why do people with obvious arthritis have so few sacroiliac symptoms? Does not the sacroiliac joint fuse early and spontaneously in most cases of true arthritis?Why go on? If the original article

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